Claims Coordinator

Reposted 8 Days Ago
Be an Early Applicant
Mechanicsburg, PA
Mid level
Healthtech • Insurance
The Role
The Claims Coordinator manages claims and billing, ensuring payment accuracy, maintaining customer accounts, and resolving payment discrepancies while collaborating with healthcare providers and teams.
Summary Generated by Built In


Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.  
 

About Our Opportunity 

As a Claims Coordinator, you’ll be responsible for overseeing claims and billing processes for the KISx Card program. This includes preparing and verifying payments, invoices, and financial records, maintaining customer accounts, and ensuring accurate data entry. You’ll also establish relationships with healthcare providers, align processes with the claims team, and proactively identify and resolve discrepancies or issues.
 

Things You’ll Do Here: 

  • Prepare, verify, and record payments and transactions related to accounts receivable, ensuring accuracy and compliance with billing procedures.
  • Create invoices following company practices, maintain proper documentation, and submit them to customers in a timely manner.
  • Generate detailed reports on the current status of customer accounts.
  • Maintain and update customer files with accurate and up-to-date information, ensuring data integrity.
  • Establish and maintain strong relationships with imaging and surgical facilities, serving as the primary liaison for prompt payment and issue resolution.
  • Collaborate closely with the team to align processes and ensure consistency in billing and claims handling.
  • Research and resolve discrepancies in payments, adjustments, and billing.
  • Assist with daily reconciliations, transaction processing, and accounting records.
  • Submit claims electronically and on paper through clearinghouse, coordinating with clinical and operations teams.
  • Proactively identify challenging situations and implement appropriate actions to mitigate escalations with business partners.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. 

What You’ll Bring to the Team:   

  • 3+ years of experience in medical billing, claims processing, or healthcare revenue cycle management.
  • Strong knowledge of medical coding, billing practices, and claims submission procedures.
  • Excellent attention to detail and data entry skills with a focus on accuracy.
  • Strong organizational and time management skills.
  • Ability to multitask and prioritize in a fast-paced environment.
  • Excellent written and verbal communication skills.

A plus if you have: 

  • Experience using QuickBooks. 
  • Experience working with direct contracting or provider-payer relationships. 
  • Knowledge of accounting principles and practices. 


Where You’ll Work: This is an in office position at our office in Mechanicsburg, PA! Your schedule will be Monday-Friday, 7:30–3:30 or 8:00–4:00 EST. We’ll provide all the necessary equipment!
 

Why You Will Love Working Here

Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. 

 

Perks and Benefits

  • Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. 
  • Spending account options: HSA, FSA, and DCFSA 
  • 401K with company match and immediate vesting 
  • Flexible working environment 
  • Generous Paid Time Off to include vacation, sick leave, and paid holidays 
  • Employee Assistance Program that includes professional counseling, referrals, and additional services 
  • Paid maternity and paternity leave 
  • Pet insurance 
  • Employee discounts on phone plans, car rentals and computers 
  • Community giveback opportunities, including paid time off for philanthropic endeavors 

Top Skills

Quickbooks
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Phoenix, AZ
237 Employees
On-site Workplace
Year Founded: 2004

What We Do

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. For more information, visit valenzhealth.com

Similar Jobs

Hybrid
Philadelphia, PA, USA
289097 Employees

Pfizer Logo Pfizer

US Vaccines & Anti-Virals Medical Lead

Artificial Intelligence • Healthtech • Machine Learning • Natural Language Processing • Biotech • Pharmaceutical
Hybrid
9 Locations
121990 Employees
231K-427K Annually

CNA Logo CNA

SIU Consultant

Cloud • Insurance • Professional Services • Analytics • Cybersecurity
Hybrid
43 Locations
7000 Employees
54K-103K Annually

Ahold Delhaize USA Logo Ahold Delhaize USA

Ad Operations Manager

AdTech • eCommerce • Food • Marketing Tech • Retail
Carlisle, PA, USA
10000 Employees
91K-160K Annually

Similar Companies Hiring

MassMutual India Thumbnail
Insurance • Information Technology • Fintech • Financial Services • Big Data
Hyderabad, Telangana
Cencora Thumbnail
Pharmaceutical • Logistics • Healthtech
Conshohocken, PA
46000 Employees
Stepful Thumbnail
Software • Healthtech • Edtech • Artificial Intelligence
New York, New York
60 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account