Medical Claims Coordinator
2 weeks ago
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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