Call Center Intake, Medical Claims, Mon-Fri 9am-3pm
Company: MultiPlan Inc.
Posted on: May 3, 2021
Imagine a workplace that encourages you to interpret, innovate
and inspire. Our employees do just that by helping healthcare
payers manage the cost of care, improve competitiveness and inspire
positive change. You can be part of an established company with a
40-year legacy that helps our customers thrive by interpreting our
client's needs and tailoring innovative healthcare cost management
Our commitment to diversity, inclusion and belonging are part of
the fabric of our company. We strive to create a workplace that
fosters mutual respect and collaboration, where every talented
individual can participate and perform their best work. We are
MultiPlan and we are where bright people come to shine!
JOB SUMMARY: This position is responsible for research,
resolution and communication of patient, client, provider and
internal customer inquiries and any follow-up required
JOB ROLES AND RESPONSIBILITIES:
Investigate, analyze, research, and resolve claim inquiries as a
result of issues related to discounts, payments and balance
Provide resolution and closure to the applicable recipients.
Create and execute business correspondence to clients or providers
using multiple media formats.
Defend and uphold discounts that providers have previously
accepted to prevent balance billing or reversals, including
Ensure investigative notes related to any contact with providers
and clients are documented and accessible throughout the applicable
Adhere to client turn around requirements as it relates to
response time and required actions.
Ensure the maintenance and compliance with department standards
for production, accuracy, and turnaround time.
Perform system claim adjustments based on outcomes and
communicate with client regarding confirmation.
Serve as liaison between Claims Specialists, Client Service
Representatives, and client contacts as needed.
May include call center responsibilities, including adhering to
call center standards.
Collaborate, coordinate, and communicate across disciplines and
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company's Core Competencies and values held
- The position responsibilities outlined above are in no way to
be construed as all encompassing. Other duties, responsibilities,
and qualifications may be required and/or assigned as
- Please note due to the exposure of PHI sensitive data, this
role is considered to be a High Risk Role.
The incumbent works under general supervision to complete job
responsibilities in applying a fundamental knowledge of principles,
practices and procedures related to the servicing of inquiries.
Work is generally complex and requires some independent judgment
within established guidelines. More complex issues are referred to
higher levels. This job has regular contact with internal and
- Minimum completion of high school (i.e., diploma or GED)
- Minimum 2 years experience in the healthcare industry or
customer service, preferably with out-of-network claims
- Required licensures, professional certifications, and/or Board
certifications as applicable
- Bilingual English/Spanish may be required of some
- Knowledge of health care claims and health insurance
- Knowledge of insurance company and medical service provider
- Knowledge of claims processing and appeals procedures
- Communication (written, verbal and listening) problem solving,
interpersonal organization, time management and decision-making
- Ability to create and compose business correspondence
- Ability to multitask while setting priorities
- Ability to handle high pressure situations and variance in
- Ability to work independently as well as part of a team
- Ability to use software, hardware and peripherals related to
job responsibilities including MS Office
- Individual in this position must be able to work in a standard
office environment which requires sitting and viewing monitor(s)
for extended periods of time, operating standard office equipment
such as, but not limited to, a keyboard, copier and telephone.
We realize that our employees are instrumental to our success,
and we reward them accordingly with very competitive compensation
and benefits packages, an incentive bonus program, as well as
recognition and awards programs. Our work environment is friendly
and supportive, and we offer flexible schedules whenever possible,
as well as a wide range of live and web-based professional
development and educational programs to prepare you for advancement
Your benefits will include:
- Medical, dental, and vision coverage (low copay &
- Life insurance
- Short- and long-term disability
- 401(k) + match
- Generous Paid Time Off
- Paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Summer Hours
MultiPlan is an Equal Opportunity Employer and complies with all
applicable laws and regulations. Qualified applicants will receive
consideration for employment without regard to age, race, color,
religion, gender, sexual orientation, gender identity, national
origin, disability or protected veteran status. If you'd like more
information on your EEO rights under the law, please [ Link Removed
Keywords: MultiPlan Inc., Irving , Call Center Intake, Medical Claims, Mon-Fri 9am-3pm, Other , Irving, Texas
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