Claims Liaison I

Company: Aerotek
Location: Austin
Posted on: April 9, 2021

Job Description:

Description:Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues* Audit check run and send claims to the claims department for corrections* Identify any system changes and work notify the Plan CIA Manager to ensure its implementation* Collaborate with the claims department to price pended claims correctly* Document, track and resolve all plan providers claims projects* Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication* Identify authorization issues and trends and research for potential configuration related work process changes* Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes* Identify potential and documented eligibility issues and notify applicable departments to resolve* Research the claims on various reports to determine if appropriate to move forward with recovery due to non-covered items being allowed, etc.* Run claims reports regularly through provider information systems* Research verbal and written providers claims inquiries as neededSkills:medical claims, medical terminology, provider relations, medical billing, healthcare, microsoft excelTop Skills Details:3+ years of claims processing, provider billing, or provider relations experience, preferably in a managed care environment. Proficient in ExcelAdditional Skills & Qualifications:CPC certification and knowledge of provider contracts/reimbursement interpretation preferred.Experience Level:Intermediate Level About Aerotek:We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Austin , Claims Liaison I, Other , Austin, Texas