Cost Containment Coordinator

As one of the world's top International Medical Insurance companies, IMG helps individuals and companies of all sizes. Every second of every day, vacationers, those working or living abroad for short or extended periods, people traveling frequently between countries, and those who maintain multiple countries of residence use our products to give themselves global peace of mind®

We are looking to grow our teams with people who share our energy and enthusiasm for creating the best experience for travelers.
 

SUMMARY

The Cost Containment Coordinator uses subject matter knowledge to assist in the claims review process, from investigation through resolution while working alongside both internal and external parties (medical providers, clients, etc. Analyze claims and ensure all pertinent information is organized and prepared, to assist with efficient processing. This role may be responsible for analytical work that requires independent judgement.
 

JOB DETAILS 

• Location: Indianapolis - Remote and hybrid schedules available
• Schedule: Day shift position from 8:00 am to 5:00 pm
• Relocation Expenses Reimbursed: No
• Qualified candidates must be legally authorized to be employed in the United States. IMG will not be providing sponsorship for employment visa status (e.g., H-1B or TN status) for this position

PERKS

• Comprehensive benefits package including Medical/RX/Dental/Vision insurance
• 401k Plan with company match
• Paid Time Off and Company Paid Holidays
• Free employee parking
• Casual dress environment
• Tuition reimbursement plan

DUTIES AND RESPONSIBILITIES

• Evaluates claims referred for medical cost containment and assist in coordination of recommended actions of further investigation, follow-up, or documentation as necessary
• Assist in review all medical claims for reasonable and necessary charges
• Organizes supporting material and facts for negotiation of medical claims with healthcare providers
• Prepares reports and documents as it relates to the work
• Provide verbal and written correspondence to members, group contacts, agents, and healthcare providers
• Establishes channels of communication with providers to familiarize them with program guidelines
• Assist in creation and revision of workflows, policies and procedures
• Work in partnership with management to improve processes through identified system errors and process improvement activities
• Perform other duties as assigned

QUALIFICATIONS 

• 3 years of work experience in claims adjudication or benefit review or at least 2 years of experience in customer service in a medical insurance setting with the working knowledge of reading and interpreting certificate language will also be considered
• Ability to understand and interpret benefits and eligibility via certificate language
• Strong computer skills with a working knowledge of Microsoft Office products (Word, Excel, PowerPoint)
• Knowledge of various types of medical claims and payment types
• Basic knowledge of medical terminology and ICD-10 a plus but not required
• Ability to work in a fast-paced, deadline-driven environment
• Strong verbal, written, and interpersonal communication skills
• Strong organizational skills

PREFERRED SKILLS 

• Data Analytics
• Detail-oriented
• Critical thinking with ability to be proactive in identifying and resolving problems, reporting discrepancies, suggesting new ideas and seeking process improvements
• Ability to maintain client relations
• Ability to work independently and as part of a team