Payment Integrity Intake Specialist

Job Description

JOB DETAILS

REQUIREMENTS

• Excellent verbal and written communication skills
• High school diploma or equivalent required
• Minimum 1 year of healthcare or claim processing experience preferred
• Proficiency with Microsoft Office Suite (Excel and Word required)
• Strong verbal and written communication skills
• Ability to read and understand process flows and procedures
• Willingness to work a five-day schedule, with flexibility for additional hours as needed
• Ability to sit or stand for extended periods and operate computers and phones to perform job duties

RESPONSIBILITIES

• Manage the shared inbox, mail, and fax communications; route claims and messages appropriately and ensure timely task completion.
• Review insurance documents for accuracy and completeness, obtaining missing information as needed.
• Support the clinical department through claim routing, finalization, and documentation.
• Communicate updates for provider/client contact information to Account Managers.
• Research claim-related inquiries and route them to the appropriate team members.
• Support a culture that is consistent with 6 Degrees Health values and beliefs
• Works collaboratively with other departments to provide updates on claims status
• Work collaboratively with the Claims Team to identify process gaps and improve procedures
• Other responsibilities or projects as assigned

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