Claims Coordinator, Zero Balance

 About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

Claims Coordinators of Zero Balance services are responsible for managing claim corrections, translating, inputting managed care terms and rates, establishing, maintaining remote access to client and payor systems for CorroHealth teams that provide ‘Zero Balance’ services and regularly identify payments for ‘zero balance’ accounts.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Review and submit claims identified by CorroHealth’s payer reimbursement auditors as potentially needing correction.
• Verify that claims were correctly submitted in client’s claims system and identify claim fields that were not changed as requested. If necessary, resubmit the request to the client with written details explaining what is missing.
• ​Document corrected claims’ status and observations in internal database.
• Implement and maintain Zero Balance team’s remote access and payer portal access for all Zero Balance clients.
• Navigate internal databases and client computer applications.
• Handle details of confidential and critical nature.
• Compile detailed information from multiple systems and maintain accurate records.
• Work in partnership with client and auditing teams.
• Other duties as assigned.

MINIMUM QUALIFICATIONS & REQUIREMENTS:

• High School Diploma or GED equivalency required.
• Proficient knowledge of Excel. (ex: sums, data manipulation and formulaic cells)
• Working knowledge of medical coding terms. (DRG, CPT/HCPCS, revenue codes)
• Passion for researching and troubleshooting.
• Ability to work both independently and in a team environment.
• Strong attention to detail.
• Flexible and able to work across multiple computer systems and clients.
• Medical coding certification preferred

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.