Claims Coordinator

Are you passionate about making a difference in peoples lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for processing and managing claims submitted by providers, includes checking for accuracy and completion of documentation and attachments. Please note this is position is fully on-site in Norton, VA.

In this role you will…

Reviews incoming claims and related documentation to ensure accuracy and completeness.

Enters claim information and relevant details into the claims processing system.

Reviews company policies to determine coverage and assess validity of claim.

Obtains missing information by using standard scripts or form letters.

Applies established guidelines and policies to determine claim eligibility and process claims accordingly.

Communicate with providers when applicable to gather additional information or clarify claim details.

Adhere to departmental deadlines, policies, and procedures in handling of claims.

Reports suspected fraudulent claims to Fraud, Waste, and Abuse (FWA) department.

Participate in other projects or duties as assigned.

We are looking for someone with…

High School Diploma required.

Zero (0) plus years of experience.

Or equivalent combination of education and/or experience.

Strong attention to detail and data entry skills for accurate claim processing.

Basic computer proficiency, including knowledge of Microsoft applications (Word, Excel, and Outlook).

Analytical mindset with the ability to interpret claim data and follow established guidelines.

Effective verbal and written communication skills to interact with superior customer-focused demeanor.

Problem-solving abilities to address claim issues and resolve discrepancies.

Ability to work independently and as a member of a team.

Pay Range: $12.37 – $16.70/hourly

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

Medical, Dental, and Vision insurance

Employer Paid Basic Life Insurance and AD&D

Voluntary Life Insurance (Employee/Spouse/Child)

Health Care and Dependent Care Flexible Spending Accounts

Pre-Tax and Post –Tax Commuter and Parking Benefits

401(k) Retirement Savings Plan with Company Match

Paid Time Off

Paid Parental Leave

Short-Term and Long-Term Disability

Tuition Reimbursement

Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

EEO is The Law – click here for more information (https://www.eeoc.gov/laws-guidance)

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com

Due to system issues, if you are unable to search for your application, please reach out to the Talent Acquisition team via email at hr.recruiting@modivcare.com and a member of the Talent Acquisition team will reach out to you within the next 48 business hours. We appreciate your interest in joining Modivcare!

Our goal isn’t a number. It’s a difference.

Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation (https://www.modivcare.com/offerings/nemt) and personal and home care (https://www.modivcare.com/offerings/personal-care) to enable greater access to care, reduce costs and improve outcomes.

Please note, Modivcare will never ask any potential applicant for employment for any Personal Identifiable Information via social media. Additionally, Modivcare will never ask any applicant for money. Please be cautious of any individual posing as a recruiter for Modivcare requesting personal identifiable information. If you suspect someone is attempting to collect your personal information or solicits money from you via any social media platform, we encourage you to report such scammers to that platform.

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