Claims Specialist

Who We Are

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 looking for a full-time Claims Specialist. We operate in a hybrid work environment, with currently 2 days a week in the office.

We offer a best-in-class benefits package including medical/dental/vision, unlimited PTO, 401k, company-paid life insurance, and long-term disability benefits. We also have frequent company-sponsored events and lunches and snacks in the office. 

Visit our website or LinkedIn to learn more.

What You’ll Do

• Serve as a contact for inbound and outbound customer support by phone, email, or text
• Facilitate resolution of open receivables
• Work independently and as part of a team on invoice renegotiations, vendor discovery, 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 with detailed service notes in our proprietary database
• Ensure quality components of service, delivery, and patient/payor satisfaction with the services provided
• Participate in the 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 Incingo guiding principles, including caring, collaboration, curiosity, trustparency, and innovation

What You’ll Bring

• High School Diploma (or equivalent); college degree preferred
• 1-3 years' experience processing medical claims, preferably worker's compensation claims 
• A customer-focused approach to tasks and responsibilities and customer service experience
• 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
• Proficiency in navigating web-based applications and leveraging modern technology tools for an efficient and streamlined workflow
• Self-discipline with a proven ability to work independently in a hybrid environment, supported by a dedicated, quiet workspace at home
• Excellent verbal and written communication skills 
• Familiarity of workers compensation state fee schedules, CPT codes, and HCPC codes preferred