OSS Coordinator
About The Position
The OSS Coordinator supports and maintains the claims management system for a local office or multiple office locations and ensures security access meets established policies within the assigned group. The role handles claims-related updates, payment allocations, requests, system access, auditing support, and end-user assistance. A high school diploma or GED is required, along with two years of claims management or insurance experience, or an equivalent combination of education and experience. An associate degree is preferred. A credit security clearance, confirmed through a background credit check, is required.
Requirements
- High school diploma or GED.
- Two years of claims management or insurance experience, or an equivalent combination of education and experience.
- Excellent oral and written communication skills, including presentation skills.
- PC literacy, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Good interpersonal skills.
- Ability to work in a team environment.
- Ability to meet or exceed Performance Competencies.
- Credit security clearance confirmed via a background credit check.
Nice To Haves
- Associate degree.
Responsibilities
- Complete examiner update reports, claim adjustments, provider requests, and operational expense check requests.
- Queue claims for Managed Care, transfer payment allocations, and run manual pre-pay and balances as requested.
- Create and maintain internal and external logins and applicable security access for claims management systems; assess whether incoming requests are valid and meet established policies.
- Coordinate with the internal audit group to ensure security access is defined and implemented according to established policies and procedures.
- Communicate and collaborate with internal departments to support end-user security needs.
- Research and gather data for auditing, special projects, or returned checks.
- Provide telephone support to end-users.
- Perform other duties as assigned.
- Support the organization's quality programs.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Comprehensive training program
- Dedicated mentor and manager
- Career development and promotional opportunities
- Stable, consistent work environment, both in-office and virtual
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
