Medical Claims Processor Job at Vanguard Group Staffing, Inc., New York, NY

UEREVjh6RG1UTHQramNFUGFXQk8yUE5mckE9PQ==
  • Vanguard Group Staffing, Inc.
  • New York, NY

Job Description

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator - Monday through Friday, 9am to 5pm, Fully On-Site.

  • Communicate via telephone and written correspondence with providers, members, attorneys, and collection agencies to resolve balance billing/fee negotiation inquiries.
  • Handle large call volume.
  • Negotiate and resolve balance billing inquires, negotiate fees and discounts for members with nonparticipating providers to reduce out of pocket expenses.
  • Analyze correspondence; verify member eligibility, claim history and coordination of benefits.
  • Review claims to determine if appropriate action was taken; follow up with Claims and Recovery Units to initiate adjustments and recover money.
  • Identify billing anomalies and alert the Fraud and Abuse Department to reduce fraudulent billing practices.
  • Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely and efficient manner.
  • Research provider contracts and lease network reports to ensure providers are not breaching contracts by referring members out of network.
  • Perform additional duties and projects as assigned by management.

Job Tags

Temporary work, Monday to Friday,

Similar Jobs

Drury Hotels

Assistant General Manager Job at Drury Hotels

 ...rewarding leadership role? Become an Assistant General Manager, Housekeeping at Drury Hotels! Are you a cleaning professional with a...  ...experienced Housekeeping Manager to lead our dynamic housekeeping, laundry, and maintenance teams and ensure our hotel continues to shine... 

ColumbiaCare Services

Residential Care Associate I - 5493 Job at ColumbiaCare Services

 ...Full Time, Swing) What Youll Make $20.60 - $21.86 per hour DOE/Credentials. An additional $3.00 per hour night shift differential will apply during...  .... Per OAR 309-035-0135, Direct Care staff must be 18 or older at the time of hire. About Us ColumbiaCare... 

SPHERIX GLOBAL INSIGHTS US INC

VP of Marketing Job at SPHERIX GLOBAL INSIGHTS US INC

 ...Job Description VP of Marketing Overview Spherix is seeking a VP of Marketing to...  ...strategic planning, brand positioning, digital and traditional marketing execution, conference...  ...in Exton, PA, with consideration for a remote arrangement. Key Responsibilities... 

Path Environmental Technology LLC

Project Manager - Industrial Tank Cleaning Job at Path Environmental Technology LLC

 ...to calibrate and zero all system air monitoring equipment Industrial workplace experience Piping and hose components and specifications...  ...always suspended during holidays or emergencies Requires outdoor work in variety of environments Travel requirements are... 

Manning Kass

Litigation Associate Job at Manning Kass

 ...Los Angeles Costa Mesa San Diego San Francisco Remote Work Flexibility Experience the freedom of working remotely...  ...depositions, and mediations. Review pleadings, motions, and other legal documents. Develop legal strategies to resolve cases...