What are the responsibilities and job description for the Claims Specialist position at ISLAND PEER REVIEW CORP?
Job Description
Job Description
Claims Specialist (Temporary Opportunities) - $3,000 Sign-On Bonus
As the Temp Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects. You will support programs by monitoring requests, liaising with clinical partners, managing provider and contractor interactions, tracking deliverables and deadlines, and develop project frameworks to support interdisciplinary and interagency communications. Duties include by are not limited to :
- Monitor appeal / dispute status and communication received on client portals.
- Conduct initial eligibility reviews and recommend course of action to internal team and department management.
- Track and assign cases using commercial off-the-shelf and custom software applications.
- Monitor and measure key performance indicators.
- Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions.
- Routinely present case / project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation.
- Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps).
- Prepare billing invoices at conclusion of cases, submit to the Finance department, and liaise with accounting to track and trend payments.
Two Available Work Schedules :
Monday – Friday
Schedule # 1 : 7 : 00 AM - 3 : 30 PM
Schedule #2 : 2 : 9 : 00 AM – 5 : 30 PM
QUALIFICATIONS :
EDUCATION & EXPERIENCE :
The salary range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $31.73 - $37.50. Actual salary and / or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.
The salary range listed does not include other forms of compensation or benefits.
IPRO is an Affirmative Action / Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Salary : $32 - $38
