What are the responsibilities and job description for the Stop Loss Coordinator position at BSi Companies?
ESSENTIAL DUTIES AND RESPONSIBILITIES
The Stop Loss Claims Specialist shall be responsible for all processes related to seeking reimbursements for Stop Loss or Aggregate claims. Including but not limited to identifying claimants, requesting reimbursement, and providing all required documentation to Stop Loss carrier. Including handling all follow-up documentation or communication necessary to receive reimbursements.
Qualifications for the Stop Loss Claims Specialist include:
- 4 years of experience with medical claims processing and adjudication.
- Experience with third party administration, self-funding, stop loss claims, excess loss claims, and/or reinsurance is preferred. Aggregate claim experience is also preferred.
- Must have knowledge of CPT, ICD-10, and HCPCS codes, along with knowledge of medical claim practices. Additional knowledge of medical billing and coding practices preferred.
- Strong analytical skills/abilities, along with having keen critical decision-making and problem-solving skills, are a must.
- Highly proficient in Microsoft Office applications, especially Outlook, Excel, and Word.
- Excellent verbal and written communication skills, along with sound organizational skills, and effective customer service abilities are necessary.
- Must have the ability to work effectively on a team, as well as work well independently.
- Must be able to work in a fast-paced environment and maintain acceptable productivity, while maintaining a high level of quality.
Experience:
- Medical Claims Processing and Adjudication: 4 years
- Stop Loss Claims: 1 year (Required)
- Third party administration: 1 year (Required)
- Aggregate Claim: 1 year (Preferred)
Job Type: Full-time
Pay: $38,000.00 - $46,000.00 per year
Benefits:
- 401(k) matching
- Employee assistance program
- Life insurance
- Retirement plan
Schedule:
- 8 hour shift
Experience:
- Stop Loss: 4 years (Required)
Ability to Commute:
- Greenville, SC 29601 (Required)
Ability to Relocate:
- Greenville, SC 29601: Relocate before starting work (Required)
Work Location: In person
Salary : $38,000 - $46,000
