Claims Administrative Specialist

Benefits :

401(k)

Health insurance

Paid time off

Parental leave

Vision insurance

Who We Are

Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for worker’s compensation claims.  We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies.  We also coordinate medical transportation, home health care and in-home modifications.  We are located in the heart of downtown Ann Arbor and we are looking for a full-time Claims Administrative Specialist.  Hybrid work is available, prefer candidates in Michigan.

We offer a best-in-class benefits package with a flexible work environment.  Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.

Visit our website or LinkedIn to learn more.

What You’ll Do

• Organize and maintain files along with the administration inbox
• Answer phones, emails, and communicate with customers as well as internal staff
• Communicate by phone and via email with case managers / adjusters
• Enter data into systems and report like spreadsheets
• Facilitate resolution of open receivables by review of HCPC coding, product, payment agreement, fee schedule and / or authorization terms.
• Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations
• Maintain accurate documentation of claim files in multiple databases
• Work with team to conduct cost analysis and identify margin opportunities
• Verify and audit charts and coding discrepancies.
• Review claim ERA, review denials, follow up with insurance providers on denials, correct claims and re-submit as needed.
• Follow up with insurance groups and patients for payments and collections. Assist patients with billing concerns & inquiries via phone
• Review EOB’s and address denial and partial payment of invoices in a timely and accurate manner
• Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation

What You’ll Bring

• High School Diploma (or equivalent); college degree preferred
• Knowledge in Account payables and receivables
• Knowledge with CPT and HCPC codes
• 1-3 years’ experience in medical billing / coding
• A customer focused approach to tasks and responsibilities
• Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day
• Excellent verbal and written communication skills
• Intermediate experience with excel database
• Familiarity of workers compensation state fee schedules preferred

Flexible work from home options available.