Job Overview
Employment Type
Full-time
Compensation
Type:
Hourly
Rate:
Range $15.00 - $22.00
Benefits
Health Insurance
Dental Insurance
Paid Time Off
Retirement Plan
Employee assistance program
Professional development opportunities
equal opportunity employer commitment
Job Description
Morgan White Group Administrators is a respected division specializing in third-party administration (TPA) services within the insurance industry. Located at 500 Steed Road, Ridgeland, MS, this organization is dedicated to delivering excellent customer-oriented insurance solutions. As a well-established company, Morgan White Group prides itself on maintaining a dynamic, process-driven environment where customer service excellence and operational efficiencies are at the forefront of its business practices. The organization has built a strong reputation for thoroughness, accuracy, and responsiveness in managing insurance claims, making it a critical player in the sector. As part of its commitment to service, Morgan White Group fosters... Show More
Job Requirements
- Must be able to read, write, and speak English
- Spanish is a plus
- Must have basic typing skills
- Must be able to work as scheduled
- Must possess sight and hearing senses or use prosthetics to function adequately
- Must be able to bend, stretch, reach, and sit or stand at a desk during 85 percent of the workday
- Must be able to lift, stoop, and carry small equipment items and supplies, possibly weighing up to 20lbs
- Must be able to perform in a high paced environment and professionally handle interruptions
- Must have the ability to work under minimal supervision
- Must be able to prioritize projects and meet deadlines
- Must possess excellent problem-solving skills and keen attention to details
- Must demonstrate strong written and verbal communication, interpersonal, and relationship building skills
- Must be able to handle stressful situations appropriately
- Must maintain confidentiality and privacy in every aspect of the job
Job Qualifications
- High school diploma or GED required
- Associates or bachelor’s degree is preferred
- 1-2 years of previous insurance claims experience
- Proficient in computer skills and have strong knowledge of Microsoft Outlook, Windows, Excel, and Word
- Ability to learn and use software in the TPA department
- Strong time management, organizational, problem solving, and customer service skills
- Ability to work well under pressure with multiple priorities and meet deadlines
- Ability to multitask while maintaining attention to detail
Job Duties
- Maintain a 24-48-hour turn-around on processing claims and responding to any inquiries
- Directly assist agents, members, providers and broker services
- Maintain concierge email/faxes and maintain concierge tickets
- Take direct calls on the concierge phone line
- Provide in-depth assistance and immediate resolution of all received inquiries
- Generate itemizations, process prior deductible credits, and provide complete member audits
- Perform CMRP claims and assistance
- Validate HIPAA forms
- Process EOBs, billing statements and proof of payments
- Process claim adjustments
- Calculate correct coordination of benefits (COB) claims
- Review claim appeals
- Move balances (buckets)
- Utilize MWG-Administrators policy administration system and claims management software to verify eligibility and review member accounts
- Input data into MWG administrators claims management software
- Be knowledgeable and have a clear understanding of the business processes within Morgan White Group
- Perform other duties as assigned by the department manager
Job Location
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