Job details
Job type full-time
Full job description
Imagine a workplace that encourages you to interpret, innovate and inspireOur employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive changeYou 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 solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our companyWe strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best workWe are multiplan and we are where bright people come to shine!
This position`s primary role is to assist with claim research, documentation processing, and operational/service pilot projects in support of mars service operations.
Job roles and responsibilities:
1Aid customer service, providers, and clients in the resolution of issues or inquires.
2Manage and service customer service cases.
3Process inbound documentation associated with special projects and clinical review inquiries.
4Access, research, and retrieve information and documentation from multiplan and external client systems.
5Execute data entry requests and/or tasks as appropriate
6Adjust claims to update clinical edits as necessary.
7Occasional outbound phone calls and outbound correspondence to request information and educate clients
8Assist with special projects as assigned in conjunction with daily workload; prioritizing and shifting focus as needed
9Recommend system and operation changes to improve efficiency of workflow and outcomes within the department
10Collaborate, coordinate, and communicate across disciplines and departments.
11Ensure compliance with hipaa regulations and requirements.
12Demonstrate company`s core competencies and values held within.
13Please note due to the exposure of phi sensitive data - this role is considered to be a high risk role.
14The position responsibilities outlined above are in no way to be construed as all encompassingOther duties, responsibilities, and qualifications may be required and/or assigned as necessary.
Job scope:
This incumbent works under general supervision to complete job responsibilities in applying knowledge of the department processes and impact of decisions made to workload and workflowWork involves applying advanced skills using systems and tools for the position or specializationDuties and tasks are standardized and the incumbent resolves routine questions and issues while referring more complex issues to higher levels for resolution.
Note: this position cannot be perofmred in colorado.
Job requirements (education, experience, and training):
Minimum high school diploma or ged coupled with two (2) years` customer service experience.
Experience in health care and/or knowledge of commonly used medical coding preferred.
Required licensures, professional certifications, and/or board certifications as applicable
Communication (written, verbal and listening), analytical, organizational, prioritization, technical, etiquette and interpersonal skills
Ability to use software and hardware peripherals related to job responsibilities including ms office suites with preferred profiency with word, excel, and other database software.
Ability to be flexible in quickly shifting priorities and keeping up with changes across multiple tasks in a fast paced environment while maintaining a positive and cooperative demeanor.
Ability to demonstrate strong technical skills.
Ability to identify issues and escalate for course of action for resolution.
Ability to elicit trust and credibility with all levels of the organization.
Ability to adjust/alter schedule to meet deadlines.
Ability to consistently meet or exceed department standards for quality, turnaround times , and production
Ability to work independently and handle confidential information.
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
Benefits
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 programsOur 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 opportunities.
Your benefits will include:
Medical, dental and vision coverage (low copay & deductible
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
Eeo statement
Multiplan is an equal opportunity employer and complies with all applicable laws and regulationsQualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran statusIf you`d like more information on your eeo rights under the law, please click here.
Job type: full-time
Work location: multiple locations
