Medical Claims Process Coordinator
GTECH Corporation - detroit, MI
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Job Description Job Description 1+ year contract / HYBRID. Local to SE MIchigan. Hybrid role, Must live in Detroit metro area. 1+ year contract Claims Process Coordinator is responsible for assisting and supporting management in the execution, evaluation, recommendation, establishment, implementation and of production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. **Education/Certifications - Include: ****** High School Graduate or GED equivalent required. Three (3) years of experience with benefits and procedures as related to assigned department. Top 3 Required Skills/Experience - • Handle escalated servicing issues by way of CMS' Complaints Tracking Module. • Ability to work with external parties directly, such as providers and members, to resolve issues/problems and effectively communicate findings. • Work cross departmentally to address enrollment, claims, benefit, eligibility, and billing matters. Required Skills/Experience - The rest of the required skills/experience. Include: • Maintain confidentiality of all information processed. • Assist and support in the planning, coordinating, developing, and implementing of approved projects which are Divisional and/or Corporate in scope to enhance the overall efficiency of operational procedures, methods, controls, and performance. • Analyze, process and/or expedite operational transactions; this may include timely resolution of problems. • Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. • Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives. • Utilize and maintain available corporate production and reporting systems; produce routine and non-routine reports, presentations, letters communications and graphics. Company Description G-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals! We are large enough to make a difference and small enough to genuinely care about each and every one of our employees! We work with the best of the best! Join us today! Company Description G-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals! We are large enough to make a difference and small enough to genuinely care about each and every one of our employees!/r/nWe work with the best of the best! Join us today!
Created: 2024-10-16