Complex Claims Coordinator

Job Summary

A company is looking for a Complex Claims Coordinator.

Key Responsibilities

• Acquire and maintain clinical and financial data/reporting within Excel spreadsheets
• Assist team with claim projections and underwriting reviews, preparing task lists, reports, and presentations as needed
• Support team outreach and communication to claims administrators while complying with HIPAA standards

Required Qualifications

• 2 or 4-year degree (preferably in a health-related field) or equivalent work-related experience
• Understanding of medical terminology
• Proficient in Microsoft products (Excel, PowerPoint, Word, Outlook)
• Knowledge of insurance claims processing and/or medical transcription and records is a plus
• Certification in a health-related/patient care role preferred (LPN, MA, NST, HHA, EMT)