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Medical Claims Manager

Kelly Services

Glastonbury, CT
Job Code:
Kelly Services
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Job Details

Job Title Medical Claims Manager

Jobid US1712SM_24703174

Location: Glastonbury, CT, 06033, USA

Description **Job Description**

Temp-to-hire Medical Claims Manager to support a growing Health Services organization in Glastonbury, CT and support a small team of individuals on a highly visible account. This role involves processing medical claims, auditing, and resolving customer issues including appeals. The ideal candidate will possess strong medical claims knowledge, medical coding certification, and prior management experience.

The schedule for this position will be Monday - Friday 9am - 5:30pm.


Basic responsibilities include:

- Process/adjust medical claims, in accordance with policies.

- Process health insurance premium requests and medical payments to clients.

- Answer inbound calls and make outbound calls; responding to customer (medical insurance carriers and healthcare providers) inquiries.

- Identify, research and resolve customer issues, including claim appeals and ensure follow up is complete.

- Be a liaison for clearinghouse initiative

- Attend client meetings

- Assist with system rollouts

- Eventually manage 1+ staff member

Required experience includes:

- Medical coding certification

- Prior experience managing people and projects

- Prior knowledge of Medical Insurance Practices and terms, including enrollment, claims processing, payment terms, benefits coordination, etc.

- Strong medical claims processing knowledge

- Experience working with medical insurance carriers and healthcare providers

- Strong detail-orientation and ability to multitask

- Proficiency with MS Office Suite, including Excel

- Professional and effective verbal and written communication skills

**Why Kelly** **®** **?**

At KellyServices ® , we work with the best. Our clients include 95 of the Fortune100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to accessthe best talent to drive their business forward. If you only make one career connection today, connectwith Kelly.

**AboutKelly Services** **®**

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 peoplearound the world and have a role in connecting thousands more with work through our global network oftalent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit and connect with us on Facebook, LinkedIn and Twitter .

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and iscommitted to employing a diverse workforce. Equal Employment Opportunityis The Law.

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