Operations Coordinator (Healthcare)

US Operations Coordinator (Healthcare)

Duties/Responsibilities:

Premium Billing, Claims, & Escrow Administration:

• Oversee premium billing processes and related teams that are responsible for invoicing, reconciliation, and generating weekly and monthly refund and chargeback reports.
• Support day-to-day administrative functions such as compliance documentation, account maintenance, and audit prep.
• Work with various client vendor in fulfillment of the company’s TPA responsibilities (E123, PayByCliq, Elevate, NMI, Rectangle Health, QEnroll, etc.).
• Ensure timely processing of regular payments to various TPA payees (i.e. commissions and premium) .
• Conduct regular claims and escrow reconciliation, coordinating with the Operations/Claims Department and Finance Manager to resolve any discrepancies.
• Maintain a systematic record of claims and escrow files, ensuring compliance with intern...