Claims Specialist

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Parental leave
• Vision insurance

Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for worker’s compensation claims. We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies. We also coordinate medical transportation, home health care and in-home modifications. We are located in Novi, and we are looking for a full-time Claims Specialist.

Hybrid work is available, prefer candidates in Michigan.

We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.

Visit our website or Linked In to learn more.

• Serve as primary contact for inbound and outbound customer support by phone, email, or instant message
• Facilitate resolution of open receivables by review of coding, product, contract, payment agreement, fee schedule and/or authorization terms.
• Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations
• Review EOB’s and address denial and partial payment of invoices in a timely and accurate manner
• Maintain accurate documentation of workers compensation claim files in multiple databases
• Ensure quality components of service delivery and patient/payor satisfaction with services provided
• Establish and maintain strong vendor relationships
• Participate in process for continuous credentialing and quality monitoring of assigned accounts
• Work with team to conduct cost analysis and identify margin opportunities
• Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation

• High School Diploma (or equivalent); college degree preferred
• 1+ year experience in a medical setting preferred
• A customer focused approach to tasks and responsibilities
• Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day
• Intermediate MS Suite, typing and email skills
• Excellent verbal and written communication skills
• Familiarity of workers compensation state fee schedules preferred
• Flexible work from home options available.