About Employer Direct Healthcare
Employer Direct healthcare (EDH) is on a mission to transform access to excellent care for the moments that matter most. As the leading provider of surgical benefits for self-insured employers, we bring guided access to high-quality, affordable care for employers, their employees and the family members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.
EDH is the market leader for Independent Centers of Excellence (CoE). We have challenged the status quo in healthcare by bringing top quality surgeons within reach of all. Our surgeon-first model is the largest and most accessible network (3-4x larger than our peers), which has delivered an ROI 3x our peers. We serve hundreds of self-funded plan sponsors across 1000+ employers, representing over 4 million people across the U.S. We've saved our clients over $700 million since we were founded!
Ultimately, the US healthcare system at-large is flawed. Costs continue to rise while life expectancy stagnates. We are moving the needed on this problem by improving surgery outcomes - making people healthier - and lowering healthcare costs at the same time.
About You:
- You have a drive and AMBITION to tackle big problems. Big problems require big ideas and a team that supports new ideas.
- You CARE deeply for your customers. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
- You thrive in a TEAM ENVIRONMENT. Collaboration is key in innovation and creating change.
- A DIVERSE environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
- You are DETAIL ORIENTED, but more so, focus on the execution of your content while balancing a fast-paced environment.
- You understand that PROGRESS is critical to making change. You take the time to celebrate the small and big wins. Understanding that each improvement to a process helps move towards a greater change.
- INTEGRITY guides you in life. Focusing on the truth versus just giving people the answers they want to hear.
If this sounds like you, we would love to connect to speak further about career opportunities at Employer Direct Healthcare.
Please apply to our role & someone from our HR Team will reach out to help you navigate our interview process.
Job Overview
The Provider Claims Intake Specialist supports the billing and claims department of Employer Direct Healthcare (EDH) by overseeing the data entry process to maintain accurate and up-to-date records and contracts. This role plays a crucial part in collecting and processing claims data, collaborating with healthcare providers, and ensuring prompt and precise payment processing. The ideal candidate will establish trust and rapport with EDH's provider administrative counterparts through proactive communication, exceptional customer service, problem-solving abilities, and a consultative approach. Successful Provider Claims Intake Specialist are characterized by their organization, interpersonal skills, resourcefulness, and ability to work independently.
THIS POSITION IS 100% ONSITE. We are located in Dallas, TX.
Responsibilities and Duties
- Perform accurate and timely data entry of medical billing information into EDH systems.
- Review and comprehend medical bills to ensure accuracy and completeness.
- Utilize basic Excel, Word, Outlook, and SharePoint skills to manage and organize claim-related documents and communications.
- Demonstrate critical thinking skills to analyze claims data and identify issues that require attention.
- Maintain organization of electronic and physical claim files to facilitate easy retrieval and auditing.
- Collaborate effectively within a team environment while also excelling as an independent contributor.
- Uphold motivation to complete tasks with minimal supervision, ensuring all responsibilities are fulfilled promptly and accurately.
Qualifications
- Proven experience in data entry and administration, preferably in a healthcare or insurance environment.
- Ability to work effectively in a fast-paced environment, managing multiple priorities with attention to detail.
- Proficiency in Microsoft Office applications (Excel, Word, Outlook) and SharePoint.
- Strong critical thinking skills to assess and resolve complex issues related to medical claims.
- Exceptional organizational skills and attention to detail to maintain accurate records and files.
- Ability to build relationships and collaborate effectively with healthcare providers and internal teams.
- Self-motivated and able to work autonomously to achieve departmental goals and deadlines.
- Excellent communication skills, both verbal and written, with a customer service-oriented mindset.
- High school diploma or equivalent; additional certification in healthcare administration or related field is a plus.
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Short & Long Term Disability
- Life Insurance
- 401k with company match
- Paid Time Off
- Paid Parental Leave
Employer Direct Healthcare does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.