JVT Advisors

Associate Customer Support Claims

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Location: Newtown, Pennsylvania 19073
Employment Type: Contract

Job Description

Contract Length:  6 months with possibility to become permanent employee.

JOB SUMMARY: This position is responsible for research, resolution and communication of patient, client, provider and internal customer inquiries and any follow-up required thereafter.

RESPONSIBILITIES:

  • Investigate, analyze, research, and resolve claim inquiries as a result of issues related to discounts, payments and balance billing.
  • Provide resolution and closure to the applicable recipients. Create and execute business correspondence to clients or providers using multiple media formats.
  • Defend and uphold discounts that providers have previously accepted to prevent balance billing or reversals, including re-education.
  • Ensure investigative notes related to any contact with providers and clients are documented and accessible throughout the applicable systems.

REQUIREMENTS:

  • Minimum completion of high school (i.e., diploma or GED)
  • Minimum 2 years’ experience in the healthcare industry or customer service, preferably with out-of-network claims
  • Required licensures, professional certifications, and/or Board certifications as applicable
  • Bilingual English/Spanish may be required
  • Knowledge of health care claims and health insurance industry,
  • Knowledge of insurance company and medical service provider vocabulary desirable
  • Knowledge of claims processing and appeals procedures

Ian Elliot

Senior Recruiter

Ian is responsible for full-cycle recruiting in many areas, including HR, IT, finance, and administrative. Prior to joining JVT, Ian worked for 5 years as a senior recruiter at Randstad.

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