Client Response Coordinator I

    • Job Tracking ID: 512935-587036
    • Job Location: Meridian, ID
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: August 11, 2017
    • Years of Experience: Up to 2 Years
    • Starting Date: September 18, 2017
    • Salary Type:: Hourly
    • Rate:: $15.23
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Job Description:

Job Summary

The Client Response Coordinator I responds to written inquiries from Providers, Participants, and Clients regarding claim issues, benefit clarification, eligibility, and any other written document.

Key Result Areas

Essential

    • Review and issue determinations on appeals and inquiries with support.

    • Adhere to timely turnaround of appeals to ensure compliance with DOL regulations and plan specifications.

    • Coordinate medical necessity and precertification reviews with UR vendors with support.

    • Identify appeals necessitating coordination with the CSC, Account Management, or client due to needing a unique process or clarification with minimal support.

    • Follow established processes when communicating with other departments to resolve customer and client inquiries with support.

    • Meet department quality and production standards.

    • Performs other duties as assigned or needed

Experience and Skills:

Minimum Qualifications

  • High School Diploma or equivalent

  • ICD9/10 and CPT coding knowledge

  • Medical and dental terminology

  • Claims processor 1+ years preferred

  • Excellent customer service attitude and professionalism

  • Exceptional problem-solving skills

  • Exceptional writing and formatting skills.

  • Two years of related work experience in written communication preferred.

  • StopLoss and Subrogation knowledge

  • Basic knowledge of all other departments

  • Good organizational skills

  • Team and goal oriented

  • Understands the functions of a third-party administrator

  • Types 45 wpm, 10-key, and computer knowledge

  • Good knowledge of MicroSoft Office software (Word, Excel, PowerPoint, and Outlook)

  • Ability to efficiently and effectively perform the Essential Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self

  • Must be reliable, punctual, and flexible

  • Protect and enhance the Core Purpose and the Core Values of the AmeriBen/IEC Group