Coordinator III

Yritys: Claims Solutions
Työnkuva: Kokoaikainen

Job Description
About the Role
The Lien Services Coordinator is responsible for handling incoming mail, conditional payment reporting, outreach for Proof of Representation documents, Medicare Advantage Plan (“MAP”) Affidavit and HIPAA release, and outreach to MAP, Part D, Medicaid programs and Medicare contractors.  This coordinator role is not outwardly client facing at this time but will work closely with outside vendors and internal staff. Each coordinator is responsible for successful communication, timely responses and providing overall excellent service. If you thrive in a fast-paced environment that emphasizes individual accountability with the support of a team structure, come join us!
About the Day to Day Responsibilities of the Role
Assist Coordinators with queues when needed
Referral set-up in database and handle triggered services, as needed.
Responsible for sending out assigned documents
Handle additional assigned email inboxes as needed
Responsible for requesting final demand and/or case resolved letters from Medicare, Map, PartD, and Medicaid Programs
Follow-up with Medicare and Map/PartD/Medicaid contractors to obtain Final Demand or Closure letters.
Handle assigned disputes with Maps, PartD and Medicaid liens.
Payment recommendations – ensure payments are issued to contractors and files are resolved
Retrieve documents as directed from external systems.
Responsible for following up with client on all missing information/documentation.