Job Description
Job Description
Medical Bill Audit (MBA) Coordinator
Overview
We are seeking a proactive and knowledgeable Medical Bill Audit (MBA) Coordinator to serve as a liaison between internal teams and adjusters using the Medflow platform. This role is critical in supporting adjusters both onsite and via phone, resolving issues in real time, and driving best practices related to medical bill adjudication.
Key Responsibilities
- Act as the primary liaison between adjusters and the Medflow platform
- Provide hands-on support to adjusters, both onsite and remotely, to resolve system, billing, and workflow issues
- Proactively identify problems and implement solutions related to medical bill review and adjudication
- Support best practices for medical bill auditing and claims handling
Required Qualifications
- Medical insurance background
- Experience providing coordination or liaison support within medical claims
- Strong understanding of medical terminology, billing concepts, and health insurance claims processing
- Ability to work independently, take initiative, and proactively solve problems
- Strong communication skills with the ability to support stakeholders at varying levels of technical expertise
Preferred Qualifications
- Prior Medical Bill Audit (MBA) experience
- Previous experience in an MBA Coordinator role
- Hands-on experience with Medflow (highly preferred)
- Medical claims processing or claims adjusting experience
- First-party medical insurance background with knowledge of contracts, coverages, and payment methodologies
- Experience with Guidewire