Service Correspondent

Healthcare Claims Liaison

Join a healthcare organization committed to delivering high-quality service and operational excellence. This role is essential in supporting provider communications and ensuring accurate resolution of claims-related inquiries.

Responsibilities:

• Serve as the primary liaison for written provider inquiries and issue resolution
• Respond to claim-related inquiries from physicians, clinical staff, and provider administrators
• Coordinate with internal departments including Claims, Utilization Management, Provider Relations, and Member Services
• Track, manage, and ensure timely follow-up and closure of all inquiries
• Prepare clear and accurate written responses to providers and maintain detailed records
• Perform data entry into internal systems such as IMAX
• Adjust claims to correct overpayments and underpayments
• Participate in special projects related to claims investigations
• Resolve member billing issues referred from Member Services

Qualifications:

• Strong knowledge of claims processing and payment methodologies
• Understanding of health plan benefits and claims operations
• Experience with systems such as IMAX and TXEN preferred
• Customer service experience, preferably in healthcare
• Ability to handle escalated or challenging provider interactions professionally
• Excellent written and verbal communication skills
• Strong attention to detail and organizational skills

Please note that the salary range and/or hourly rate range of $60.00 - 70.00 is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). For consideration to this and/or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool. At ATRIA Consulting, LLC, we are a woman-owned business fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We embrace and celebrate differences across all demographics and backgrounds. We encourage everyone to apply.