Claims Administrator @ Apixio | Jobright.ai
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Apixio · 1 day ago

Claims Administrator

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AnalyticsArtificial Intelligence (AI)

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Responsibilities

Perform incoming claim review and document hygiene by assigning appropriate statuses, reviewing and organizing data, and routing completed files to appropriate auditors.
Collaborate with internal teams to manage the import queue, assign statuses, perform balance reconciliation, compare charges to appropriate forms, identify and update errors, and route completed files to appropriate auditors.
Manage the intake and output of files, handling communication regarding questions, discrepancies, and errors.
Review data and identify trends from various documents and systems, communicating with internal and external teams; paying particular attention to status updates, claims routing, intake efficiency, claim status, inventory, and volume.
Ensure appropriate volume levels, verify effective data transfer protocols, and monitor file-sharing avenues.
Perform data entry of documents and other duties as assigned.

Qualification

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Microsoft Office SuiteMedical record reviewMedical terminologyAdobe AcrobatData entryTeam-building skillsCollaboration skills

Required

Perform incoming claim review and document hygiene by assigning appropriate statuses, reviewing and organizing data, and routing completed files to appropriate auditors.
Collaborate with internal teams to manage the import queue, assign statuses, perform balance reconciliation, compare charges to appropriate forms, identify and update errors, and route completed files to appropriate auditors.
Manage the intake and output of files, handling communication regarding questions, discrepancies, and errors.
Review data and identify trends from various documents and systems, communicating with internal and external teams; paying particular attention to status updates, claims routing, intake efficiency, claim status, inventory, and volume.
Ensure appropriate volume levels, verify effective data transfer protocols, and monitor file-sharing avenues.
Perform data entry of documents and other duties as assigned.
Exceptional attention to detail, with excellent organizational, analytical, and critical thinking skills.
Strong interpersonal and team-building skills, with the ability to collaborate with a diverse team and drive change across functional and business boundaries.

Preferred

Preferred experience in medical record review with a demonstrated knowledge of medical terminology.
Intermediate to advanced computer skills, including proficiency in Microsoft Office Suite and Adobe Acrobat, with the ability to use multiple monitors and adapt to all company-specific software.

Benefits

Medical, dental and vision
FSA/HSA
Generous vacation policy

Company

Connected Care Platform at the intersection of health plans and providers

Funding

Current Stage
Late Stage
Total Funding
$42.86M
Key Investors
SSM PartnersBain Capital Ventures
2023-05-03Private Equity· Undisclosed
2023-05-03Acquired· by New Mountain Capital
2016-05-24Series D· $19.3M

Leadership Team

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Sachin Patel
Chief Executive Officer
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Meg Holland
Chief Operating Officer
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Company data provided by crunchbase
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