Claims Appeals Coordinator I

Responsible for the accurate review and processing of claim appeals, coordination of benefits and eligibility in accordance with company policies and contract guidelines.

Applies proper claim concepts, rules and practices, ensuring accuracy and timeliness of claims payment through demonstrated knowledge of medical terminology, health insurance plans and medical billing concepts.

Employ good written and oral communication skills when supplying determinations to members, providers and third parties when needed.

Ability to work independently as well as with a team to accomplish daily departmental goals in a production environment.

Assist with training and communicating work priorities and projects within the team.

Generate reports to track and trend productivity. Other responsibilities as assigned.

2-3 years in medical billing or claims processing

Responsible for the accurate review and processing of claim appeals, coordination of benefits and eligibility in accordance with company policies and contract guidelines.

Applies proper claim concepts, rules and practices, ensuring accuracy and timeliness of claims payment through demonstrated knowledge of medical terminology, health insurance plans and medical billing concepts.

Employ good written and oral communication skills when supplying determinations to members, providers and third parties when needed.

Ability to work independently as well as with a team to accomplish daily departmental goals in a production environment.

Assist with training and communicating work priorities and projects within the team.

Generate reports to track and trend productivity. Other responsibilities as assigned.

2-3 years in medical billing or claims processing

eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:

Full medical, dental, vision, and vision benefits with employer funded HSA starting day 1

Strong work/life balance with 15 days of PTO (starting) per year plus 8 paid holidays

Competitive compensation package including base salary, and short and long term incentives depending on role.

Education assistance and tuition reimbursement along with ample opportunities for growth

Time away from work programs including employer paid short-term and long-term disability, caregiver leave, BTO (bought-time off) options, company paid volunteer community service hours, and more

Onsite fitness facilities, casual dress code- wear your jeans to work, and two comprehensive employee discount programs

Health coaching, Employee Assistance Program, resiliency and stress management solutions, Adoption Assistance Program and additional resources to support your well-being

Life & Accidental Death Dismemberment and additional Accidental Injury, Critical Illness, and Hospital Care Insurance

401k retirement plan with company match of 50% employee contributions up to 6%

And so much more. Check out evicore.com/careers to see all of the perks and benefits we offer.Requisition ID: 2020-7797 External Company Name: EviCore External Company URL: www.medsolutions.com Street: 730 Cool Springs Blvd.