Senior Provider Claims Coordinator

Job Summary

A company is looking for a Sr. Provider Field Claims Coordinator.

Key Responsibilities

• Resolve outstanding accounts with the Provider Community and determine necessary action steps
• Maintain knowledge of processing systems and adjust claims as needed
• Research and develop procedural revisions to enhance departmental efficiency and productivity

Required Qualifications

• Bachelor's degree preferred or equivalent work experience
• Minimum of 3 years experience in direct customer service or coordinating services with providers
• Ability to process and adjust claims on Nasco
• Working knowledge of RCOE, UPS, and New Membership
• Strong analytical and organizational skills