Job Description

Job description

Point Comfort Underwriters, Inc. (PCU) is a fast-growing international healthcare administration and medical insurance underwriter. Founded by veterans of the international insurance and financial services industry in March 2014, PCU provides insurance plans, healthcare access and claims management services to thousands of non-US citizens living in the US, and US citizens overseas in over 120 countries.

This position is Hybrid FT Monday-Friday (Remote 2 days after training is completed) and we are located downtown Indianapolis, IN.

Job Duties

• Requesting and Entering W-9s
• Initiate provider outreach for Provider Contract Specialists based upon leads or requests from program participants
• Facilitate single case and non-complex agreements as needed
• Research care gaps and perform outreach initiatives
• Update provider profiles and fee schedules as needed
• Initiate / investigate resolution of escalated issues received by phone / fax / email that include claims payment and contracting concerns
• Ensure that all provider information and reimbursement information is accurately entered in our company database to ensure proper claims adjudication.
• Accountable for provider satisfaction, service, and retention of assigned providers
• Assist in efforts to enhance ease of use of provider portal and future services enhancements
• Other administrative duties as assigned

Qualifications

• 2 years’ experience in healthcare / insurance industry
• Intermediate level of proficiency in claims processing and issue resolution
• Experience with provider relations and/or provider network experience
• Experience with health care/managed care experience
• Experience with Medicare and Medicaid regulations

Job Type: Full-time

Job Tags

Similar Jobs