Client Response Coordinator I

    • Job Tracking ID: 512935-732469
    • Job Location: Meridian, ID
    • Job Level: Mid Career (2+ years)
    • Level of Education: Any
    • Job Type: Full-Time/Regular
    • Date Updated: June 01, 2020
    • Years of Experience: Not Applicable
    • Starting Date: ASAP
    • Salary Type:: Hourly
    • Rate:: 15.99
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Job Description:

The Client Response Coordinator I responds to written inquiries from providers, participants, and clients regarding claim issues including; benefit clarification, eligibility, etc.

Key Result Areas

  • Reviews and issues determinations on appeals and inquiries with support.
  • Adheres to timely turnaround of appeals to ensure compliance with DOL regulations and plan specifications.
  • Coordinates medical necessity and precertification reviews with appropriate UR vendors with support.
  • Identifies appeals necessitating coordination with the CSC, Account Management, or client due to needing a unique process or clarification with support.
  • Follows established processes when communicating with other departments to resolve customer and client inquiries with support.
  • Meets department quality and production standards.
  • Performs other duties as assigned or needed.

Experience and Skills:

  • High school degree or equivalent.
  • Knowledge of ICD9/10 and CPT coding, medical and dental terminology, Preferred
  • Claims processor 1+ years, Preferred.
  • Exceptional organization and problem-solving skills.
  • Two years of related work experience in written communication preferred.
  • Team and goal oriented.
  • Working knowledge of the functions of a third-party administrator.
  • Must be reliable, punctual, and flexible.
  • Types 45 wpm, 10-key, and computer knowledge.
  • Excellent customer service attitude and professionalism.
  • Demonstrate Accuracy, Customer Service, Timely Turn-Around (ACT).
  • Exceptional verbal and written communication skills to include appropriate formatting experience.
  • Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).
  • Ability to work efficiently, prioritize tasks, and meet tight deadlines.
  • Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices, including HIPAA and HITRUST standards.
  • Ability to efficiently and effectively perform the Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.
  • Protect and enhance the Core Purpose and the Core Values of AmeriBen.

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com .