Demo

Medical Claims Specialist / Medical Billing Specialist (Healthcare)

Systems Ally
North Chicago, IL Full Time
POSTED ON 3/2/2025
AVAILABLE BEFORE 4/26/2025

Role Title: Intake Specialist I

This is a Hybrid Role, and the candidate will need to be onsite at J23 on 3 days a week.

Work Schedule is : 3 days in office/ 2 days wfh – 9:00 am to 5:30 pm.

Contract Duration – 1 year

Responsibilities:

  • Completes the intake process of complaints through phone, email and Complaint Intake Systems.
  • Conducts initial assessment of application for missing information and completes missing information customer outreach process to obtain required data
  • Conducts the initial identification of the complaint code
  • Coordinate the logistics for the complaint samples
  • Partner with internal stakeholders for adverse events
  • Decides whether a replacement, credit, or warranty claim is warranted, and will notify the appropriate stakeholders. Will process replacement, credit or warranty claim for the customer.
  • Leads translation services for reporting
  • Identify the need for a reply letter to customers addressing the results of complaint investigations and send to complaint processing team to create

Qualifications:

  • High school diploma or equivalent required. College or a 2-year Associate Degree is preferred
  • A minimum of 1-2 years’ experience within a call center, preferably in a healthcare setting
  • Strong attention to detail, critical thinking, and can work independently with minimal direction
  • High quality customer service skills
  • Ability to express ideas clearly in both written and oral communications
  • Knowledge and familiarity with product, process, equipment, and facilities of pharmaceutical, biological or device related products.
  • Computer skills and ability to navigate through software systems
  • Strong prioritization and time management skills

Job Type: Contract

Pay: $20.00 - $21.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Education:

  • High school or equivalent (Preferred)

Experience:

  • Healthcare Call center environment: 2 years (Preferred)
  • Complete intake process of complaints through phone/email: 2 years (Preferred)
  • High quality customer service skills: 2 years (Preferred)
  • medical claims background: 2 years (Preferred)

Ability to Commute:

  • North Chicago, IL 60064 (Required)

Work Location: In person

Salary : $20 - $21

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