Cost Containment Coordinator

Remote

Full Time

Cost Containment

Experienced

As one of the world's top International Medical Insurance companies, IMG helps individuals and companies of all sizes. Every second of every day, vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence use our products to give themselves global peace of mind®

We are looking to grow our teams with people who share our energy and enthusiasm for creating the best experience for travelers.

SUMMARY

The Cost Containment Coordinator uses subject matter knowledge to assist in the claims review process, from investigation through resolution while working alongside both internal and external parties (medical providers, clients, etc. Analyze claims and ensure all pertinent information is organized and prepared, to assist with efficient processing. This role may be responsible for analytical work that requires independent judgement.

JOB DETAILS

Location: Indianapolis - Remote and hybrid schedules available
Schedule: Day shift position from 8:00 am to 5:00 pm
Relocation Expenses Reimbursed: No
Qualified candidates must be legally authorized to be employed in the United States. IMG will not be providing sponsorship for employment visa status (e.g., H-1B or TN status) for this position

PERKS

Comprehensive benefits package including Medical/RX/Dental/Vision insurance
401k Plan with company match
Paid Time Off and Company Paid Holidays
Free employee parking
Casual dress environment
Tuition reimbursement plan

DUTIES AND RESPONSIBILITIES

Evaluates claims referred for medical cost containment and assist in coordination of recommended actions of further investigation, follow-up, or documentation as necessary
Assist in review all medical claims for reasonable and necessary charges
Organizes supporting material and facts for negotiation of medical claims with healthcare providers
Prepares reports and documents as it relates to the work
Provide verbal and written correspondence to members, group contacts, agents, and healthcare providers
Establishes channels of communication with providers to familiarize them with program guidelines
Assist in creation and revision of workflows, policies and procedures
Work in partnership with management to improve processes through identified system errors and process improvement activities
Perform other duties as assigned

QUALIFICATIONS

3 years of work experience in claims adjudication or benefit review or at least 2 years of experience in customer service in a medical insurance setting with the working knowledge of reading and interpreting certificate language will also be considered
Ability to understand and interpret benefits and eligibility via certificate language
Strong computer skills with a working knowledge of Microsoft Office products (Word, Excel, PowerPoint)
Knowledge of various types of medical claims and payment types
Basic knowledge of medical terminology and ICD-10 a plus but not required
Ability to work in a fast-paced, deadline-driven environment
Strong verbal, written, and interpersonal communication skills
Strong organizational skills

PREFERRED SKILLS

Data Analytics
Detail-oriented
Critical thinking with ability to be proactive in identifying and resolving problems, reporting discrepancies, suggesting new ideas and seeking process improvements
Ability to maintain client relations
Ability to work independently and as part of a team

IMG is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, national origin, religion, gender, gender identity or expression, sexual orientation, genetic information, disability, age, veteran status, and other protected statuses as required by applicable law.

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Cost Containment Coordinator

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