Position Purpose. This position examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines. May be assigned multiple clients with several lines of coverage. Primary Responsibilities. To perform this job successfully, the individual must be able to perform each essential duty satisfactorily (the requirements listed below are representative of the knowledge, sk...
Job Details. Job Location. Corporate Headquarters - Fort Wayne, IN. Position Type. Full Time. Education Level. High School. Salary Range. Undisclosed. Travel Percentage. None. Job Shift. Day. Job Category. Admin - Clerical. Description. Position Purpose: This position uses knowledge of benefits and contracts to identify benefit exceptions whether internal or external and resolves provider participation to auth. Primary Responsibilities. 1. Respon...
Position Purpose: This position uses knowledge of benefits and contracts to identify benefit exceptions whether internal or external and resolves provider participation to auth. Primary Responsibilities. 1. Responsible to conduct Medical Policy research and assist in development of medical policies. This includes. a. Assure all policies are reviewed on an annual basis. Policies that are due for review are identified in advance, compared against n...
Position Purpose. This position responds to all incoming calls and member walk-ins. Provides information as requested relating to enrollment, review of status, and claims. Identifies questions related to contract interpretation and claims processing. Researches payment of claims, coordination of benefit problems, enrollment issues, pharmacy issues, COBRA questions and, as needed, employer group or provider problems/issues. In conjunction with Cas...
Job Details. Level. Entry. Job Location. TPA Services - Fort Wayne, IN. Position Type. Full Time. Education Level. High School. Salary Range. Undisclosed. Job Category. Customer Service. Description. Position Purpose. This position responds to all incoming calls, and member walk-ins. Provides information as requested relating to enrollment, review of status, and claims. The CSR researches payment of claims, coordination of benefit problems, enr...
