ArlingtonTXRecruiter Since 2001
the smart solution for Arlington jobs

Claims Resolution Specialist, OON II

Company: MultiPlan
Location: Arlington
Posted on: January 13, 2021

Job Description:

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company that helps our customers thrive by interpreting our client's needs and tailoring innovative cost management solutions.We are MultiPlan and we are where bright people come to shine!Come and show off your negotiation skills as a Claims Resolution Specialist for MultiPlan!This position is seated in our Newtown Square, PA , Naperville, IL, and Arlington, Tx offices and is responsible for negotiating certain type and dollar size of assigned claims/bills with generally lower complexity on behalf of the payor to achieve maximum discount and savings.JOB ROLE AND RESPONSIBILITIES: 1. Foster and maintain provider relationship to facilitate current and future negotiations by * Performing claim research to provide support for desired savings;* Generating agreement by communicating with provider by written and verbal communication throughout the negotiation process; and * Partnering with internal and external clients, including Account Managers, Customer Relations, Provider Services, and direct client contacts as applicable.2. Meet and maintain established departmental performance metrics. Manage high volume of claims in a queue; keep current with all claim actions and meet client deadlines for working and closing claims.3. Initiate provider telephone calls with respect to proposals, overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims.4. Address counter-offers received and present proposal for resolution while adhering to client guidelines and department goals.5. Seek opportunities to achieve savings with previously challenging/unsuccessful providers.6. Collaborate, coordinate, and communicate across disciplines and departments.7. Ensure compliance with HIPAA protocol.8. Demonstrate Company's Core Competencies and values held within.9. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.JOB SCOPE:The incumbent works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related to the negotiation of provider agreements. Work is sometimes complex and requires some independent judgment within established guidelines. More complex issues are referred to higher levels. This job has regular contact with internal and external customers.

Keywords: MultiPlan, Arlington , Claims Resolution Specialist, OON II, Other , Arlington, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Telemetry Nurse - Travel Assignments Registered Nurse
Description: Telemetry RN - Nationwide Travel Nurse Assignments Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Traveler Jobs
Location: Wylie
Posted on: 01/16/2021

Supervisor
Description: We are looking for a Shift Leader to oversee operations and
Company: Jack in the Box
Location: The Colony
Posted on: 01/16/2021

TX - PA need in The Colony - December 28 & 31 (Physician Assistant #)
Description: Family Practice/Primary Care opening in The Colony, Texas. Client seeks Nurse Practitioner
Company: PrimeHealth Staffing, LLC
Location: The Colony
Posted on: 01/16/2021


Medical Intensive Care - Travel MICU RN
Description: Medical Intensive Care Nurse MICU Nationwide Travel Nurse Assignments Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are (more...)
Company: HealthCare Traveler Jobs
Location: Wylie
Posted on: 01/16/2021

Solution Architect - Senior Associate, TMT
Description: A career within Application and Emerging Technology services, will provide you with a unique opportunity to help our clients identify and prioritise emerging technologies that can help solve their business (more...)
Company: PwC
Location: The Colony
Posted on: 01/16/2021

Full time Member Contact Center Representative
Description: POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING THE FINANCIAL SERVICES SECTOR We are hiring customer service representative to support inbound and outbound customer service projects for Finacial (more...)
Company: MCI
Location: Rowlett
Posted on: 01/16/2021

Caliber Home Loans - Residential Underwriter - Texas
Description: Join a reputable mortgage company that offers a direct hire, six-figure income opportunity with full
Company: Caliber Home Loans
Location: The Colony
Posted on: 01/16/2021

Financial Services Customer Support Representative
Description: POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING THE FINANCIAL SERVICES SECTOR n We are hiring customer service representative to support inbound and outbound customer service projects for (more...)
Company: MCI
Location: Wylie
Posted on: 01/16/2021

Lot Associate
Description: Job Description Lot Associates assist customers with the loading of their vehicles and also monitor
Company: The Home Depot
Location: The Colony
Posted on: 01/16/2021

Security Officer - Lake Pointe
Description: JOB SUMMARY The Security Officer I, under general supervision and consistent with state law and departmental policy, provides customer service and a safe and secure environment for patients, visitors, (more...)
Company: Baylor Scott & White Health
Location: Rowlett
Posted on: 01/16/2021

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Arlington RSS job feeds