We have the immediate need for two care coordinators and 1 claims coordinator. 9am-6pm PST. Care Coordinators need to have strong attention to detail for this assignment as they will be working on a pilot project. Bilingual a plus but not mandatoryThe Claims Advocate role serves as a liaison between plan members, providers and health insurance companies to get claims issues resolved. The Claims Advocate handles the communication and paperwork with a health insurance carrier and provides members and their families with an experienced insurance liaison to review bills and insurance coverage and to provide a report on potential savings. The Claims Advocate will provide support for plan members and appeal on behalf of members.Responsibilities:Providing effective and timely customer service for members, providers, insurer and clientEnsuring timely follow-up on member requests for accounts to be reviewedOrganization of health insurance paperworkAudit hospital and provider chargesReview medical bills and determine proper paymentNegotiation with providers on plan member balancesChallenging denials of claims by the insurance companyContacting providers and insurance companies to resolve claim concernsAssisting with understanding of explanation of benefits (EOBs)Enabling members to get the errors fixed and recoup or lower their expenses by resolving their:medical billsdenied medical claimsmedical letters of appealAnalyzing and identifying trends and patterns related to member billing complaintsCollaborate with peers across functionsUnderstand the evolving business requirements and adapt the operational processes to meet those requirementsModel a culture reflective of our Core Company Values; gain and maintain a thorough understanding of the Patient Care Team policies, processes, software, etc.Working hours: 9:00 AM - 6:00 PMSkills:Proven track record of driving measurable efficiency resultsPassion for providing supportMedical billing/coding certification (CPC) preferredCurrently this is an in office/non-remote roleEducation:No Degree RequiredExperience:1-4 yearsQualifications:Prior work experience in a claims advocate role strongly preferredExperience in health insurance claims adjudication, medical billing/codingHighly effective communication, problem resolution and organizational skillsDemonstrated ability to meet goals in a rapidly changing environmentExcellent data and overall analytical skills Positions are currently in office or work from home.. Company is nationally recognized healthcare integration office.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.