Medical Claims Processor Job at Vanguard Group Staffing, Inc., New York, NY

SHJySVoveEhIbXZLSlBBdTY5NUZDOG9rdHc9PQ==
  • Vanguard Group Staffing, Inc.
  • New York, NY

Job Description

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator - Monday through Friday, 9am to 5pm, Fully On-Site.

  • Communicate via telephone and written correspondence with providers, members, attorneys, and collection agencies to resolve balance billing/fee negotiation inquiries.
  • Handle large call volume.
  • Negotiate and resolve balance billing inquires, negotiate fees and discounts for members with nonparticipating providers to reduce out of pocket expenses.
  • Analyze correspondence; verify member eligibility, claim history and coordination of benefits.
  • Review claims to determine if appropriate action was taken; follow up with Claims and Recovery Units to initiate adjustments and recover money.
  • Identify billing anomalies and alert the Fraud and Abuse Department to reduce fraudulent billing practices.
  • Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely and efficient manner.
  • Research provider contracts and lease network reports to ensure providers are not breaching contracts by referring members out of network.
  • Perform additional duties and projects as assigned by management.

Job Tags

Temporary work, Monday to Friday,

Similar Jobs

Aquila | On-Site Health & Fitness Management

Spring/Summer 2026 Internship Fitness Specialist Job at Aquila | On-Site Health & Fitness Management

 ...Aquila's Fitness Specialist Intern Spring/Summer 2026 will gain first- hand experience by assisting members in safe and effective exercise programs and perform a wide range of duties in a health/fitness center, under the supervision of the site manager. The program provides... 

I Saw The Sign

Sign Installation Specialist (Commercial) Job at I Saw The Sign

 ...At I Saw The Sign, we're more than just a sign company. We're storytellers. Our dynamic signage solutions, from eye-catching storefront...  ...We are seeking a dedicated and skilled Outdoor Commercial Sign Installation Specialist to join our team. This full-time, on-site position... 

Insight Global

Intermodal Dispatcher Job at Insight Global

The Intermodal Dispatcher is responsible for coordinating container movements between marine terminals, rail yards, and customer locations. This role ensures timely pickups and returns by managing terminal appointment systems, verifying steamship line requirements, and...

Health and MedSpa

Family Nurse Practitioner Job at Health and MedSpa

 ...We are seeking an experienced and highly motivated Family Nurse Practitioner Medspa to join our growing team. The ideal candidate will have...  ...Qualifications: Current and valid Florida Family Nurse Practitioner (NP) or Physician Assistant (PA) license. Minimum of 1-2 year...