Medical Claims / Billing Administrator

If you’re looking for a meaningful career, you’ll find it here at Webster. Founded in 1935, our focus has always been to put people first doing whatever we can to help individuals, families, businesses and our colleagues achieve their financial goals. As a leading commercial bank, we remain passionate about serving our clients and supporting our communities. Integrity, Collaboration, Accountability, Agility, Respect, Excellence are Webster’s values, these set us apart as a bank and as an employer.

Come join our team where you can expand your career potential, benefit from our robust development opportunities, and enjoy meaningful work!

Our Claims Team is primarily responsible for ensuring timely and accurate payments of member claims. The position requires excellent phone and email skills with the ability to adapt correspondence to a wide variety of audiences, including attorneys, claims adjusters, claimants, physicians, and structured settlement brokers. The role works closely with the client engagement team, member care team, and management team to keep our members happy and compliant with their settlements.

PRIMARY RESPONSIBILITIES :

Assess if billed services are related to a member’s accident or injury.

Assess if billed services are compliant within the guidelines of the member’s settlement.

Review settlement documentation to evaluate prior authorization requests.

Manage the bill payment process including detailed review and analysis of claims to ensure proper treatment of funds.

Maintain expected turnaround times in assigned claims statuses.

Identify claim issues, and work towards a fast resolution.

Handle incoming & outgoing claim calls, emails, and chats while maintaining a pleasant and helpful demeanor.

Record, track and follow up on all correspondence while maintaining member confidentiality.

Coordinate with providers to proactively resolve billing errors and / or discrepancies.

Act as a resource for member care and pharmacy agents in need of billing assistance.

Assist in identifying enhancements within existing processes.

Lead or participate in special projects as assigned by Management.

Demonstrates a commitment to service by consistent attendance and punctuality.

REQUIRED SKILLS / EXPERIENCE :

Well versed with healthcare and medical terminology

2-4 years of experience with ICD-10, CPT, NDC and HCPCS coding and procedures

Understanding of Medicare coverage guidelines

Meticulous attention to detail

Highly organized and focused with the ability to prioritize and multitask

Aptitude for problem-solving

Sound business judgment and computer skills

Excellent written and verbal communication skills with ability to adapt communication style depending on audience

Ability to work independently and as part of a team

A desire to continue to learn and improve both self and the organization

The estimated salary range for this position is $ to $ Actual salary may vary up or down depending on job-related factors which may include knowledge, skills, experience, and location. In addition, this position is eligible for incentive compensation.

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Webster Financial Corporation and its subsidiaries (“Webster”) are equal opportunity employers that are committed to sustaining an inclusive environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, marital status, national origin, ancestry, citizenship, sex, sexual orientation, gender identity and / or expression, physical or mental disability, protected veteran status, or any other characteristic protected by law.