Large Claim and Specialty Medication Coordinator

If you have an analytical mindset and meticulous data entry skills you need to keep reading about this full-time Large Claim and Specialty Medication Coordinator position with Unified Group Services! Our Anderson IN office is hiring someone to review claims answer questions and ensure accuracy in our clerical records. Keep reading to learn more!

WHAT SETS US APART

At Unified Group Services we take care of the customer and then some! Established in 1996 were a proud full-service third-party administrator (TPA) for self-funded group health insurance plans. Our mission is centered on you-whether youre a customer or a team member-because we believe that great service starts with a great culture. We empower our customers with innovative programs cutting-edge technology and trusted partnerships that help control healthcare costs while ensuring access to top-tier benefits. Every service we deliver is backed by a professional experienced team that provides personal attention with speed and care. We dont just talk about our values-we live them training every employee to uphold the principles that have guided us from the beginning. If youre looking to join a company where your work truly makes a difference Unified Group Services is the place to be.

Were offering this clerical position:

• Competitive hourly pay
• Health dental and vision insurance
• 401(k) with company match
• Education assistance
• Employee assistance program
• Paid time off (PTO)
• Growth opportunities
• HSA/FSA
• Life insurance
• Short- and long-term disability coverage
• Wellness programs
• Sponsored health clinic
• Company parties

WHAT WERE LOOKING FOR

Minimum Requirements:

• Experience working with specialty medications or pharmacy benefits
• Proven history of excellent attendance and reliability
• Familiarity with Microsoft Word and Outlook
• Strong customer service skills
• Self-motivation to meet targets and exceed expectations
• Polite and respectful attitude with courteous phone communication skills
• Positive attitude and a team spirit
• Organizational skills and high attention to detail
• High school degree or equivalent
• Willingness to learn more and attend training workshops

Preferred Qualifications:

• Some medical knowledge or experience
• Some college education
• Experience using WLT software

DAY-TO-DAY

Our Large Claim and Specialty Medication Coordinator works from 8:00 am to 5:00 pm Monday through Friday with overtime available.

This is a clerical position where youll review large medical claims for accuracy perform data entry and evaluate insurance claims to help people receive medical coverage. Close attention to detail and a high commitment to accuracy are crucial as youll seek out negotiation opportunities and serve as a resource for specialty medication-related issues. As our Large Claim and Specialty Medication Coordinator you will:

• Work with large case management vendors to monitor employees serious health conditions
• Assess out-of-network claims and coordinate single-case agreements to meet medical needs and care standards
• Review medical claims to identify billing errors
• Answer customers questions and assist with specialty medication needs
• Review and authorize specialty medication requests when appropriate
• Diligently track authorizations and communicate decisions to patients providers and internal claims account managers

Become our Large Claim and Specialty Medication Coordinator by completing our short initial application today!

Must have the ability to pass a Background Check and Drug Screening.

Required Experience:

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