Alpha Business Solutions ยท 2 weeks ago
Claims Coordinator
Alpha Business Solutions is hiring an Inter-Plan Relations Coordinator in Philadelphia to support complex and escalated provider and member claim issues across partner health plans. The role involves managing inquiries, investigating claim issues, and acting as a liaison between various stakeholders.
Bookkeeping and PayrollEmployee BenefitsFinancial ServicesStaffing Agency
Responsibilities
Owning partner plan inquiries end to end, ensuring timely and compliant resolution
Investigating claim issues, performing root-cause analysis, and supporting reprocessing or adjustments
Acting as a liaison between internal teams, providers, and partner plans
Managing escalations and supporting process improvement initiatives
Qualification
Preferred
claims experience
BlueCard/Inter-Plan experience
service operations experience