The Requirements
To be a good fit for the Account Coordinator opportunity, you will have:- A bachelor's degree or an equivalent combination of education and experience. Quick question for you - click here
- 3+ years of experience in a healthcare environment.
- Experience in client-facing service positions.
- The ability to communicate effectively with different groups, including "translating" different terminology.
- Advanced computer skills, including Outlook, Word and Excel.
- Solid interpersonal skills and the ability to build strong working relationships with a variety of personalities.
- Exceptional organizational skills and the ability to multi-task.
- The ability to work independently and also contribute as a team player.
- Strong attention to detail.
- The ability to handle delicate matters with diplomacy.
- Self-motivation.
- Excellent verbal and written communication skills.
- Knowledge of insurance terminology is a plus.
- Experience in a sales support role can be helpful.
The Role
Reporting to the Account Coordinator Supervisor, you will join a team that includes several other Account Coordinators and an Account Coordinator Admin. This team supports the pre-payment review process for high-dollar inpatient claims with our clients. The review process involves identifying discrepancies and negotiating an equitable resolution.As you might imagine, this is a complex process and Equian handles a high volume of claims. That's where you will come in. Your primary responsibility will be monitoring operational activities associated with referrals and reviews for an assigned book of accounts. This will include product and process education of clients, soliciting additional claim information from clients, providing relevant updates to clients and internal teams, tasks associated with preparing and validating data for billing, troubleshooting and contributing to continuous process improvement efforts. Quick question for you - click here
You'll invest a good portion of your time interacting with clients, acting as the main point of contact. Internal teams will work through you to get additional information from clients, and clients will reach out to you with questions and requests. On a weekly basis, you will hold a "roster call" with your clients to ensure accounts are reflected accurately between Equian and the client. The variety in the day-to-day functions provides exciting days in a fast-paced, team-focused environment.
More specifically, you will:
- Coordinate claim activity.
- Build and maintain relationships with clients to ensure customer satisfaction.
- Understand claim flow and work closely with operations and account management personnel to determine additional information requirements essential to the review. Per client/claim handling instructions, you'll contact client as appropriate to obtain data. This can include follow-up with facilities to obtain information needed to process claims.
- Establish and maintain contact (verbal and written) with customers from the referral submission through case closure per client/claim handling instructions and service standards.
- Assist clients with claims submission, including handling and researching rush requests and verifying pertinent information is provided to ensure efficient and timely handling of the review process.
- Procure claims payment information from clients in a timely fashion.
- Prepare and distribute accurate client status reports per the established schedule. Present key outstanding issues and operational challenges through the intake and review process.
- Facilitate conference calls for clients as needed for updates and discussions.
- Contribute to the development of innovative, practical solutions to solve client problems.
- Understand client requirements and clearly and quickly communicate issues.
Video: An overview of our clinical review & resolution services.
What's in It for You
Build a career homeThis role will provide you with both a strong understanding of our inner workings as well as exposure to different functional areas. It also will give you plenty of opportunities to demonstrate your ability to deliver results, attention to detail, and great customer service skills -- all characteristics we look for as new positions open up. There are multiple levels within Account Coordinator Team, or you could set your sights on a career in claims handling, quality assurance, claims resolution or other areas.
Competitive compensation
In addition to a competitive wage, you will enjoy a comprehensive benefits package including medical, dental, vision, prescription drug and life insurance options; a 401(k) plan with company match; paid vacation; charitable hours; and holidays; flexible spending accounts; tuition assistance; and more.
Positive culture
Equian offers a distinctive and rewarding work experience for associates at all phases of their careers -- from workforce newcomers to seasoned professionals. As an industry leader, we seek to attract, develop and retain associates sharing our commitment to innovation, continuous improvement, superior service and professional curiosity.
Strong, growing company
Founded in 2004 through the merger of two medical cost management companies, Equian has grown to become one of the nation's leading companies for healthcare reimbursement analysis and payment integrity. We have been voted one of 40 "Healthcare's Hottest" by Modern Healthcare and have been recognized by Inc. 5000 as one of the fastest growing companies in the United States. We are continuing our growth through acquisition, and intend to keep growing for years to come.
Keys to Success
It should be clear that, in this role, you will manage a lot of details. Accuracy is important across the board, but especially with financial information. Your desire to focus on the details to solve problems or get information is vital. Additionally, strong organizational skills to track and follow-up in a timely manner are crucial. A commitment to understanding the big picture and how all components work together to function properly will allow for a successful and fruitful opportunity to grow within Equian.Strong communication skills are required. Having a collaborative mindset and the desire to work closely with both internal and external customers is necessary since building trust is key to creating successful outcomes for all parties. The Account Coordinator team coexists based upon a true team concept; team members are willing to step in to help each other whenever needed. Recognizing the clients and customers are all part of Equian and not an individual responsibility is a vital part of why our company continues to flourish and maintain a high level of respect and credibility among the industry.
About Us
Equian is a leading provider of technology-enabled, data-driven solutions ensuring payment integrity across the healthcare, workers compensation and property & casualty industries.One of our nation's most pressing challenges is the rising cost and affordability of healthcare. At Equian, our efforts are dedicated to addressing this challenge. We provide solutions that ensure each healthcare interaction is paid accurately and at the lowest possible cost. We have a proven system to reduce healthcare cost through proprietary data analytics coupled with deep domain expertise. Once we have aligned with you and analyzed all of the data, we provide integrated payment integrity solutions that eliminate unnecessary spending.
With more than 1500 talented professionals working across the country, our people have transformed Equian into the thriving organization it has become today. Our team includes market experts for each industry we serve, so you can be sure we are ready to hit the ground running for you. Equian's team is dedicated to building lasting partnerships with clients. It is simply what we do best
Equian is backed by New Mountain Capital, a leading healthcare investment firm, and is recognized nationally by Inc. Magazine and Modern Healthcare as a leading high-growth company in health care.
Video: Equian team members share their thoughts around why the company is enjoying ongoing strong growth.