Grievance and Appeals Coordinator 1

Camp Hill, PA 17011

Posted: 04/18/2019 Category: Healthcare Job Number: 26222

Now hiring for a Top Healthcare / Managed Care company in Camp Hill whom are in need of several experienced Claims Processors to become a part of the team!
  • Pay Rate: $17 to $19 per hour based on experience
  • Hours: 40 hour shift: 8: 00 a.m. - 5: 00 p.m.

Job Description:.
  • Facilitates the exchange of info between the Grievances, Claims processing, and Provider relations systems.
  • Educate contracted and non-contracted providers regarding appropriate claims submission requirements, coding updates, electronic claims transactions and electronic fund transfer, and available CHC-MCO resources
  • Communicate with providers to exchange info and to gain feedback regarding appropriate claims submission practices

Required:
  • 3+ years of Claims experience in a Health Plan setting
  • Experience with Amisys
  • 5+ years of Customer Service Experience
  • Strong Knowledge of CPT/HCPCS Codes with Familiarity with PA Medical

Please contact Damian Sroka by applying directly or send your resume directly to dsroka@alinestaffing.com 

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