A. Overall Purpose Of The Job (Brief description of the primary purpose of this position) Given the nature of the work, a significant percentage of this role involves detailed data entry and administrative processing activities. The Carrier Claims Liaison is responsible for submitting accurate, clean claims to insurance carriers in compliance with carrier-specific guidelines and procedures. This role is also responsible for generating accurate cost share invoices to civilians in accordance with carrier reimbursement details, and supports accounts receivable efforts by researching unpaid claims, preparing appeals for denied claims, and conducting follow-up activities to achieve timely and favorable claim resolution. B. Key Responsibilities (Critical responsibilities and skills of this position, listed in order of importance) Reviews and extracts medical claims recorded in BiGGeR system daily, generates system invoices, prepares comprehensive invoice packages, and submits accurate, clean claims to insurance carriers in accordance with established carrier billing procedures. Maintains and updates the internal invoice tracking database, ensuring accurate recording of submitted invoices and related data to support effective invoice management and reporting. Tracks insurance carrier reimbursement details and relays the data to provider payment team to facilitate timely payments to providers. Supports resolution of unpaid, denied or partially paid claims by working directly with insurance carriers and internal teams, such as Operations and Claims Management, Provider Payment, and Accounts Receivable staff members. Generates accurate invoices for patients' cost-share collections and uploads the invoicing data to SharePoint for Collections Team review and processing. Maintains effective communication with supervisory and other management teams, and provides timely and factual updates on all situations that may impact data integrity, productivity and/or efficiencies. Understands insurance carrier reimbursement process as it applies to EOBs and accurately reflects it on the internal invoice tracking database. Ensures protection of private health and personal information by adhering to all HIPAA and PCI compliance regulations for monitoring billing and reimbursement related data. Actively participates in day-to-day office activities, including a variety of meetings which may sporadically be held after normal business hours and task force groups to improve processes. Completes additional, related duties as assigned by Claims Support Manager as needed. C. Job Profile Required Skills and Knowledge (Brief description of technical knowledge or skills needed to perform the job) Experience with medical billing and collections Proficiency in Microsoft Office applications (Excel, Word, Outlook, PowerPoint) Required Competencies (Critical behaviors necessary to successfully perform the job) Works well under pressure Team player Attention to detail Excellent communicator Required Work Experience Minimum of two (2) years of work experience with insurance carrier billing, and collections. Proficiency in Microsoft Office applications (Excel, Word, Outlook, PowerPoint) Required Qualifications (Brief description of the educational background needed to perform the job) Medical terminology certification a plus Experience with Electronic Data Interchange (EDI) a plus Required Languages (Brief description of the language skills needed to perform the job) Proficiency in English both in reading and writing Travel / Rotation Requirements (Brief description of any travel or rotation requirements)

None Pay:

$25.00 - $28.00 per hour

Benefits:

401(k) Dental insurance Employee assistance program Health insurance Referral program Vision insurance

Work Location:

In person