Claims Specialist

Incingo Source Management

Claims Specialist

Novi, MI
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    Dental insurance

    Health insurance

    Paid time off

    Parental leave

    Vision insurance

    Who We Are

    Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for worker’s compensation claims. We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies. We also coordinate medical transportation, home health care and in-home modifications. We are located in Novi, and we are looking for a full-time Claims Specialist. Hybrid work is available, prefer candidates in Michigan.

    We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.

    Visit our website or LinkedIn to learn more.

    What You’ll Do

    Serve as primary contact for inbound and outbound customer support by phone, email, or instant message

    Facilitate resolution of open receivables by review of coding, product, contract, payment agreement, fee schedule and/or authorization terms.

    Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations

    Review EOB’s and address denial and partial payment of invoices in a timely and accurate manner

    Maintain accurate documentation of workers compensation claim files in multiple databases

    Ensure quality components of service delivery and patient/payor satisfaction with services provided

    Establish and maintain strong vendor relationships

    Participate in process for continuous credentialing and quality monitoring of assigned accounts

    Work with team to conduct cost analysis and identify margin opportunities

    Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation

    What You’ll Bring

    High School Diploma (or equivalent); college degree preferred

    1+ year experience in a medical setting preferred

    A customer focused approach to tasks and responsibilities

    Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day

    Intermediate MS Suite, typing and email skills

    Excellent verbal and written communication skills

    Familiarity of workers compensation state fee schedules preferred

    Flexible work from home options available.