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Claims Provider Outreach Specialist in Woburn, MA at Beacon Health Options

Date Posted: 12/5/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic Claims Outreach Specialist to join our team in Woburn, MA! The Claims Outreach Specialist reports to the Claims Manager and is responsible for the daily monitoring of claims folders and queues for claims requiring outreach to providers.  This position performs CMS-required outreach for Medicare claims that cannot be paid without additional information from providers. 

Position Responsibilities:

  • Monitors claims queues and folders for Medicare claims that require provider outreach.
  • Provides daily outreach to providers via phone, email and letters within specified timeframes.
  • Ensures claims are finalized timely following outreach.
  • Maintain logs regarding outreach attempts and outcomes.
  • Work in collaboration with management to proactively identify issues and resolve claims-related challenges.
  • May enter claims or perform other job related duties as assigned by management.
  • May be required to work additional hours and/or mandatory overtime as needed.

Position Requirements:

  • Education: High School diploma or GED equivalent is required
  • Knowledge, Skills, Abilities:
    • Must have excellent verbal and written communication skills
    • Must have competent computer skills, and ability to learn multiple applications
    • Must be organized, able to work under multiple competing priorities.
    • Must maintain professional demeanor when communicating with providers

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.  EOE/AA/M/F/Veterans/Disabled