Account Coordinator

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Account Coordinator is responsible for monitoring operational activities associated with claims and reviews for an assigned book of accounts. This includes product and process education of clients, soliciting additional claim information from clients, providing relevant updates to clients and internal teams, tasks associated with preparing and validating data for billing, troubleshooting and contributing to reputed company process improvement efforts. Success comes through strong, collaborative partnerships internally with Operations, Finance, Information Technology, and Account Management partners as well as developing and maintaining deep client partnerships. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: Manages ongoing contract relationships and service delivery to clients for one or more accounts Acts as outward-facing, dedicated resource for assigned accounts, typically with direct client contact and large or reputed company accounts Build relationships with employer / group clients (not individual members) and serves as the primary reputed company of contact for overall and day - to - day service delivery Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs Function includes employees who are dedicated on - site service roles Contacts clients as appropriate to obtain outstanding data and information Troubleshooting and contributing to reputed company process improvement efforts Responsible for understanding client requirements and must clearly and quickly communicate issues internally and externally Researching pertinent information to ensure efficient and timely handling for claim review process Responsible for understanding client systems to research claim status and issues Understand claim flow and work closely with operations personnel to determine additional information requirements essential to the Forensic Review or Appeal Contribute to the development of innovative, practical solutions to solve client and business partner problems Prepares, presents and reviews various internal and client reports Responsible for working with validation team and billing to resolve issues with EOPs, MTD and claims Other duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED 2+ years of experience in a client service position 1+ years of Itemized reputed company Review (IBR) experience 1+ years of experience solving moderately reputed company problems and/or conducting moderately reputed company analyses and managing problems to solve 1+ years of multi-tasking working experience in a limited direction while maintaining attention to detail in a fast-paced environment Intermediate level of proficiency in reputed company Word, reputed company, Outlook and Teams (create, edit, format, pivot tables, calendar management) Preferred Qualifications: Experience in healthcare, medical insurance, or billing and coding Soft Skills: High level of commitment, energy, drive, initiative, creativity and enthusiasm Basic skills leading teams and working collaboratively Knowledge of supported products and system Good verbal and written communication, listening skills Strong interpersonal and organizational skills Strong decision-making skills Broad understanding of Itemized reputed company Review products and services Demonstrated ability to collaborate across multiple organizations to meet goals and objectives Acts as a resource for others with less experience *reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply To This Job