What are the responsibilities and job description for the Claims Coordinator position at Valenz?
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.
About Our Opportunity
As a Claims Coordinator, you’ll be responsible for overseeing claims and billing processes for the KISx Card program. This includes preparing and verifying payments, invoices, and financial records, maintaining customer accounts, and ensuring accurate data entry. You’ll also establish relationships with healthcare providers, align processes with the claims team, and proactively identify and resolve discrepancies or issues.
Things You’ll Do Here:
- Prepare, verify, and record payments and transactions related to accounts receivable, ensuring accuracy and compliance with billing procedures.
- Create invoices following company practices, maintain proper documentation, and submit them to customers in a timely manner.
- Generate detailed reports on the current status of customer accounts.
- Maintain and update customer files with accurate and up-to-date information, ensuring data integrity.
- Establish and maintain strong relationships with imaging and surgical facilities, serving as the primary liaison for prompt payment and issue resolution.
- Collaborate closely with the team to align processes and ensure consistency in billing and claims handling.
- Research and resolve discrepancies in payments, adjustments, and billing.
- Assist with daily reconciliations, transaction processing, and accounting records.
- Submit claims electronically and on paper through clearinghouse, coordinating with clinical and operations teams.
- Proactively identify challenging situations and implement appropriate actions to mitigate escalations with business partners.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- 3 years of experience in medical billing, claims processing, or healthcare revenue cycle management.
- Strong knowledge of medical coding, billing practices, and claims submission procedures.
- Excellent attention to detail and data entry skills with a focus on accuracy.
- Strong organizational and time management skills.
- Ability to multitask and prioritize in a fast-paced environment.
- Excellent written and verbal communication skills.
A plus if you have:
- Experience using QuickBooks.
- Experience working with direct contracting or provider-payer relationships.
- Knowledge of accounting principles and practices.
Where You’ll Work: This is a hybrid remote position , and you will be required to report to our office in Mechanicsburg, PA. 4 days/week. Your schedule will be Monday-Friday, 7:30–3:30 or 8:00–4:00 EST. We’ll provide all the necessary equipment!
- Work Environment: You’ll need a quiet workspace that is free from distractions.
- Technology: Reliable internet connection—if you can use streaming services, you’re good to go!
- Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
- Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.
Why You Will Love Working Here
Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do.
Perks and Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous Paid Time Off to include vacation, sick leave, and paid holidays
- Employee Assistance Program that includes professional counseling, referrals, and additional services
- Paid maternity and paternity leave
- Pet insurance
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including paid time off for philanthropic endeavors
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
