Billing Specialist

Touch Care is a healthcare concierge service dedicated to simplifying the complexities of health insurance and the healthcare system. By assigning each member a personal assistant, Touch Care helps resolve billing issues, coordinate with providers, and save individuals time and money. Committed to providing a healthier understanding of healthcare, Touch Care makes navigating healthcare more convenient and stress-free for its users.

Touch Care is a health tech organization headquartered in Stamford, CT and with offices in Shrewsbury, NJ. The Company provides a personal on-demand, white-glove healthcare concierge service that helps its members find the highest quality, most convenient, lowest out-of-pocket care; available via web, phone, and mobile app.
The Company’s customers include large self-insured companies and small to medium-size businesses who provide Touch Care to their employees as a benefit.

• If you have previous experience in a healthcare office, this role may be a good fit for applying your current claims knowledge to truly help members.
• A successful candidate will work on the members’ behalf to understand claims adjudication guidelines and resolve medical, dental and vision billing issues for our members.
• Excellent organizational skills, ability to manage multiple concurrent deadlines and exceptional attention to detail are essential to this position.
• It’s a rewarding position that encompasses investigation and communication skills.
• Essential Job Functions:
  
  Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members.
• Research plan information and identify where there may be conflicting information.
• Research billing issues to determine the possible cause of the error, and assisting with claims resubmission when needed to correct the issue.
• Serve as a resource of help to other claims specialists who need assistance and have questions on their cases.
• Working with these resources to analyze and resolve billing issues:
• Plan documents and plan benefits
• Interpretation of benefits
• Medical, dental, vision, behavioral health billing and claims adjudication
• FSA, HRA and HSA plans

• Bachelor’s degree and/or 3-5 years claims experience
• Previous medical office experience a plus
• Strong research and analytical skills
• Ability to work independently and elevate for assistance as needed
• Strong communication and ability to work with various internal and external parties to resolve member issues
• Excellent organizational, time management, and customer service skills
• Ability to proactively identify payer and provider trends, and to communicate this to management
• Excellent listening skills and ability to empathize with members
• Excellent computer skills and experience in Microsoft Office Suite

• You are a service-focused, highly personable individual who loves dealing with people,solving their problems, and providing them with a great customer experience
• You have a bachelor’s degree and/or 3-5 years claims management experience
• Ability to proactively identify payer and provider trends, and to communicate any recognizable trends to management
• Excellent listening skills and ability to empathize with members
• Excellent interpersonal and communications skills (verbal and written) is a must with the ability to effectively collaborate with other Health Assistants, members, clients, and all levelsof management
• You are relentlessly inquisitive, love researching and finding new answers
• You have strong analytical skills and understand advocacy vs simply answering a question
• You act professionally, especially when assisting others who are experiencing challenges
• Multitasking and working…