Payment Integrity Intake Specialist

Role Summary

Manage the shared inbox, mail, and fax communications; route claims and messages appropriately and ensure timely task completion.
Review insurance documents for accuracy and completeness, obtaining missing information as needed.
Support the clinical department through claim routing, finalization, and documentation.
Communicate updates for provider/client contact information to Account Managers.
Research claim-related inquiries and route them to the appropriate team members.

Essential Role Responsibilities

Support a culture that is consistent with 6 Degrees Health values and beliefs
Works collaboratively with other departments to provide updates on claims status
Work collaboratively with the Claims Team to identify process gaps and improve procedures
Other responsibilities or projects as assigned

Minimum Role Requirements

Excellent verbal and written communication skills
High school diploma or equivalent required
Minimum 1 year of healthcare or claim processing experience preferred
Proficiency with Microsoft Office Suite (Excel and Word required)
Strong verbal and written communication skills
Ability to read and understand process flows and procedures
Willingness to work a five-day schedule, with flexibility for additional hours as needed
Ability to sit or stand for extended periods and operate computers and phones to perform job duties