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Medical Claim Team Lead - $23 to $25 Per Hour
628 Hebron Avenue, Suite 502 Glastonbury, CT 06033 US
Job Description
Medical Claims Team Leader - Healthcare
Our client, a large 3rd party Administrator that processes accurate payments for thousands of individuals, is seeking a candidate to lead a claim team. This is a team that supports the West Coast; Please note the schedule below.
Monday through Friday 40 hours per week: 11:30am - 8:00pm
Pay: $23.00 to $25.00 Per Hour
Easy to get too, Rural town, Free Onsite Parking, Café in Building!
Job Responsibilities:
This is a fast paced / high volume department that answer phones and respond to client inquiries related to payments made on their behalf to insurers or medical providers.
- Lead the claim team through managing, training and promoting team work.
- Ensure service contract guarantees are met.
- Act as a resource and point person to the team for any escalated issues, questions, concerns etc.
- Update policies and procedures.
- Recommend process and workflow improvements.
- As needed make outgoing calls to clients, medical providers, insurance companies to resolve coding, payment, billing, and documentation clarification.
- Assist in identifying, researching and resolving client issues.
- Uses knowledge of Medicare, Medicaid and commercial insurance along with primary and secondary insurance claims
Required Skills:
- Experience with Medical Insurance including- Insurance follow up / Medical billing and payment / Billing resolution/ Insurance Claims
- Understanding of Medicare, Medicaid, commercial insurance and secondary insurance
- Ability to read and understand missing Clinical Documentation, Clinical coding Enrollment; and Payment Terms related to insurance premiums and out of pocket expenses; Benefits Coordination with other insurance coverage.
- STRONG COMMUNICATION SKILLS–This is a highly interactive role . The chosen candidate will have experience with customer service/ call center experience from an Insurance, billing or medical processing payment environment.
- Technology and Computer Skills: Proficiency with all MS Office applications (Excel, Word, Outlook, etc.) Billing and Insurance Software
- Ability to speak Spanish preferred
Work for a highly rated Recruiting & Staffing Firm by Google and Forbes!
Meet Your Recruiter
Tara Guglietta
Recruiter, Healthcare Services
Tara Guglietta is a dedicated professional who has called Connecticut home for over a decade. She's a proud wife and a loving mother of three wonderful children. Tara's journey into the world of business and human resources began with a solid educational foundation.
Tara is a proud alumna of SUNY Brockport, where she earned her Bachelor's degree in Business Administration, with a minor in Mathematics. Her passion for business and analytics drove her academic pursuits, setting the stage for a successful career.
Upon graduation, Tara embarked on a fulfilling career in Human Resources and Recruiting, a field she's been committed to ever since. She has a wealth of experience in this domain, honing her skills and expertise with each passing year.
Since 2018, Tara has been an invaluable member of the J. Morrissey team, specializing in Healthcare Services. Her dedication and professionalism have made a significant impact on the company and the clients she serves.
Outside of her professional life, Tara's interests are diverse. She is a Certified Zumba Instructor and shares her passion for dance fitness by teaching two classes a week. Her commitment to staying active and promoting a healthy lifestyle shines through her Zumba instruction.
Interestingly, Tara's educational journey initially took her down a different path. She originally pursued a degree in Meteorology, demonstrating her curiosity about the natural world and the forces that govern it. While her career took a different turn, her love for learning and exploring new horizons remains a defining trait.
Tara Guglietta's story is one of dedication, versatility, and a lifelong commitment to personal and professional growth.