Payment Integrity Coordinator in Latham, NY at Beacon Health Options

Date Posted: 8/2/2018

Job Snapshot

Job Description

ABOUT THE POSITION:

The Payment Integrity Coordinator will join our team at our office in Latham, NY (preferred location). The Payment Integrity coordinator will be responsible for assisting the implementation of the Payment Integrity Center of Excellence and related administrative activities under the direction of the Director, Payment Integrity.

Position Responsibilities:

  • Assist Payment Integrity management with dedicated administrative functions.
  • Compile and distribute large volumes of communications related to recovery notifications and dispute response notifications.  
  • Maintain turnaround times related to Payment Integrity communications channels, including E-Mail, Fax, and Mail.
  • Manage inventory of returned checks and correspondence with providers related to the return check process.
  • Facilitate communications with providers and offer technical direction related to administrative functions.
  • Maintain and distribute accurate and timely data and reports
  • Participate on special projects and perform other duties as assigned

General Competencies:

  • Flexibility/adaptability: adjusts quickly to changing priorities and conditions; copes effectively with complexity and change
  • Efficiency: able to produce significant output with minimal wasted effort
  • Honesty/Integrity: does not cut corners ethically; earns trust and maintains confidences; does what is right, not just what is politically expedient; speaks plainly and truthfully
  • Proactivity: acts without being told what to do; brings new ideas to the company
  • Analytic skills: able to structure and process qualitative or quantitative data and draw insightful conclusions from it; exhibits a probing mind and achieves penetrating insights
  • Attention to detail: does not let important details slip through the cracks or derail a project
  • Persistence: demonstrates tenacity and willingness to go the distance to get something done
  • Follow-through on commitments: lives up to verbal and written agreements, regardless of personal cost
  • Calm under pressure: maintains stable performance when under heavy pressure or stress

Position Requirements:

  • Education: Some secondary education in healthcare or related experience required. Bachelor’s degree preferred.
  • Relevant Work Experience: Minimum one year of experience in healthcare, healthcare coding and audit, claims, billing compliance, or administrative role required. Previous program experience with claims, claims edits, claims programs, payment integrity edits and activities are all desired. Current or previous experience with Beacon's claims transactions systems highly desired. 

To Apply:

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Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment.  EOE/AA/M/F/Veterans/Disable

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