Medical Claims Rep

Burlington, MA | Temporary

Post Date: 12/22/2017 Job ID: 105737 Industry: Insurance Pay Rate: $16.00 - $18.00


Job Type:  Temp-To-Hire

 

Our client, an insurance firm in Burlington, MA is looking to hire a medical claims rep.  Reporting to the Claim Supervisor, this temp-to-hire position is responsible for providing claim technical services to workers compensation customers and unit staff members as needed.  Perm salary is $40k.

 

Job Duties:
  • Handle routine medical only cases as referred and ensure prompt payment within specified time period and proper documentation.
  • Ensure expedient payment of medical bills as authorized by the Claim Representative. Must maintain less than 25 items in the portal at all times.
  • Evaluate coverage, liability, disability and causal relationship issues as well as potential loss value immediately upon receipt of first report.
  • Interact with customers, medical providers and vendors on general case issues, providing complete and accurate information.
  • Bring all claims assigned to a prompt and fair conclusion.
  • Daily review of documentation with the appropriate identification and prioritization of items.
  • All phone calls must be returned by the end of each business day.
  • Ensure claim file is completely up to date with current activity.
  • Follow up on payment issues involving assigned cases.
  • Prior claim technical experience, with emphasis on workers compensation preferred
  • Must be customer focused with strong phone skills
  • Must be detail oriented and thorough with external customers
  • Ability to prioritize
  • Medical Billing/Terminology experience a plus
  • Criminal Justice degree a plus
About ACE Employment Services, Inc.: In 1989, ACE Employment Services, Inc. was founded to give companies in Massachusetts a personal and consultative approach to staffing. With a small internal staff and dedication, honestly and hard work we landed on the Boston Business Journal’ s Largest Temp Placement Firms in Massachusetts at #11. ACE Employment Services, Inc. is your partner for direct, temporary and temp-to-hire solutions. Learn more at www.AceBoston.net

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