Medical Claims Payment Specialist (Bilingual) Job Listing at Kelly Services in Glastonbury, CT (Job ID US3525624_BH9696629)

Description

Now Hiring-

Job Title: Medical Claims Processor - Payment Specialist (Bilingual-English/Spanish)
Location: Glastonbury, CT
Pay Rate: $21-$22/hr
FLSA Status: Non-Exempt
Summary: Responsible for working in a fast-paced environment and having strong interpersonal and communication skills, attention to details, outstanding ability to multi-task and prioritize, and strong analytical skills. Performs administrative tasks related to client health premiums and out-of-pocket medical expenses, interacts with clients to provide information in response to inquiries about products and services, and handles and resolves complaints by performing the following duties.
Duties and Responsibilities:

1. Answers phones and responds to client inquiries related to payments made on their behalf to medical providers.
2. Answers phones and responds to medical provider inquiries related to payments made or due to their office on behalf of program clients.
3. Makes outgoing calls to clients, medical providers, and insurance companies.
4. Identifies, researches, and resolves client issues.
5. Promotes teamwork and service delivery success.
6. Ensures contractual performance guarantees related to payment processing timeliness and accuracy are met.
7. Ensures contractual performance guarantees related to various means of client communications are met, such as phone, email, and mail.
8. Processes health and dental insurance premium payments for clients.
9. Processes medical payments for clients.
10. Creates and updates financial batch records for processing by accounting.
11. Audits payment files and outgoing payments for accuracy.
12. Updates appropriate call logs.
13. Refers unresolved client grievances to designated departments for further investigation.
14. Works with clients that have high medical utilization.
15. Recognizes, documents, and alerts the customer service manager of call trends in client services.
16. Performs other duties as assigned.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Language Ability: Fluency in English and Spanish is required, including bilingual writing, speaking, and comprehension.
• Math Ability: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
• Computer Skills: Proficiency with MS Office applications, including Microsoft Excel, Microsoft Word, and Microsoft Outlook software, spreadsheet software, internet software, time-keeping systems, database software, proprietary software, and compliance software.

Education/Experience:

• Associate's degree (A. A. / A. S.) or equivalent from a two-year college or technical school; or two to four years related experience and/or training; or equivalent combination of education and experience.
• Specialized Training: Knowledge of medical insurance practices, including enrollment, payment terms related to insurance premiums and out-of-pocket expenses, benefits coordination with other insurance coverage, and ensuring payer of last resort.

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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