Lead Medical Claims Coordinator

Michigan Farm Bureau Family of Companies • Waverly, MI

2d

About The Position

To provide technical support and act as a contact point for the Medical Claims Unit/Assigned Claims Unit resulting in proper disposition of claims, develop, implement and manage proper processes and procedures.

Requirements

• Bachelor’s degree required or equivalent experience.
• Minimum three to five years’ experience required.
• Successful track record in building relationships.
• Proven successful track record in building positive relationships required.
• Willingness to pursue continuing job-related training and education required.

Responsibilities

• Advanced knowledge of computer systems, keying functions including but not limited to letter composition, log entry, time entry, and diary entry.
• Review medical bills for validity including processing through the fee schedule as applicable and issue payments as warranted.
• Coordinate use of outside investigators and medical examinations as directed.
• Enhanced ability to review, develop, and maintain medical claims processes including provider line inquiries.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level