Claims Coordinator

Corewell Health

Associate Claims Coordinator

This position is production and quality based. Assigned to analyze and adjudicate specific types of claims, with lower complexity, and work with external pricing partners to resolve claim issues. This position is production and quality based and the associate claims coordinator will be expected to achieve monthly measures.

Essential Functions

Process claims through on-line adjudication. May include all product lines.
Utilize Facets, Lens Inquiry Tracking system, and all claim procedures to investigate and resolve claim pends and errors.
Utilize software provided and online vendor websites to resolve related issues.
Identify system related issues impacting claim adjudication
Organize and maintain reference information related to responsibilities of this position
Ability to meet the production and all quality standards.
General knowledge of operational functions and software.

Qualifications

High School Diploma Or Equivalent
1 years of relevant experience

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

#CorewellHealthCareers

Comprehensive benefits package to meet your financial, health, and work/life balance goals. On-demand pay program powered by Payactiv. Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance. Traditional and Roth retirement options with service contribution and match savings. Eligibility for benefits is determined by employment type and status.

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Vacancy posted 2 days ago

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