Medical Claims Coordinator

2 weeks ago


Ottawa, Ontario, Canada People Corporation Full time

About the Role:

We are seeking an experienced Medical Claims Clerk to join our team at Coughlin & Associates in Ottawa. The successful candidate will be responsible for processing group plan member health claims by applying established policies and procedures.

Key Responsibilities:

  • Responding to clients, members, or other external contacts in a prompt, efficient, and courteous manner.
  • Preparing correspondence using company standard templates for members, carriers, or clients.
  • Providing accurate and timely information/assistance to members and clients concerning coverage, processing and paying claims, and benefits parameters.
  • Liaising with medical professionals.
  • Data entry related to claims and member correspondence.
  • Verifying eligibility of members, drugs, services, providers, co-insurance, deductibles, payments, and procedure/dental codes.
  • Producing claims payments, including applying applicable deductibles.
  • Interpreting policies and administrative practices and correctly applying them in the adjudication of claims.

Requirements:

  • A good vocabulary of medical terminology.
  • Sound knowledge in the concept of group or individual benefits administration.
  • Solid knowledge of Microsoft Office and standard office administration procedures.
  • The demonstrated ability to learn and master new software and technology.
  • Strong mathematical and organizational skills, the ability to prioritize and multi-task, and the ability to manage time effectively.
  • The ability to adhere to existing company policies and procedures.

What We Offer:

  • An estimated salary range of $45,000 - $55,000 per year, depending on experience.
  • Extended health care and dental benefits.
  • A retirement savings plan with company contributions.
  • A suite of Health & Wellness offerings.
  • Mental Health programs and support for you and your family.
  • Assistance for the completion of industry designations.
  • Competitive compensation.


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