Administrative Claims Coordinator

Job not on LinkedIn

🕒 October 16

🇺🇸 United States – Remote

💵 $50k - $55k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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The Phia Group, LLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2000

💼 Consulting

🏥 Healthcare

🛡️ Insurance

💰 Private Equity Round on 2018-09

Consulting • Healthcare • Insurance

The Phia Group, LLC is a dedicated provider of healthcare cost containment solutions, focusing on empowering self-funded health plans to maximize benefits and minimize costs. Through a comprehensive suite of services, including subrogation and recovery, claims negotiation, and cost transparency initiatives, The Phia Group aims to help employers and families navigate the complexities of healthcare with advocacy and expertise. Their commitment to improving healthcare accessibility and affordability sets them apart in the industry.

📋 Description

• Prepare and organize claim files for negotiators, ensuring required documentation is complete and accurate • Process final payment determinations from the federal independent dispute resolution (IDR) process • Complete appropriate follow-up actions for payment determinations • Review and process signed settlement agreements • Coordinate related administrative tasks • Create repricing sheets and generate client invoices according to client-specific requirements and company procedures • Enter claim, payment, and settlement information into the internal operating system • Close completed case files accurately • Maintain and update client-specific contact information, settlement authority, and payment-processing information • Participate in process improvement initiatives to increase efficiency and enhance the claim settlement process • Properly handle confidential information under HIPAA and company policies

🎯 Requirements

• Bachelor's degree from an accredited college or university (preferred) • Experience in a medical healthcare claims role or experience at an insurance company, TPA, or hospital, preferably with emphasis in claims, fee schedules, or contracting (preferred) • Proficiency in Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint • Strong organizational, analytical, written communication, and interpersonal skills • Ability to perform essential job functions unaided or with reasonable accommodation • Ability to handle confidential information in accordance with HIPAA and company policies • Ability to sit at a workstation for prolonged periods and perform extensive computer work • Ability to operate office equipment including personal computers, copiers, and fax machines

🏖️ Benefits

• Exceptional benefits • Inclusive, enjoyable, and empathetic company culture • Recognition as a USA Today Top Workplace for 2026 • Recognition by The Boston Globe, Courier Journal, and Louisville Business First as a Top Place to Work

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