The Account Coordinator provides administrative support to the claims team (claim analysts, stop loss, and benefit configuration specialists), and assists with appeals and pre-determinations.

Duties/Responsibilities:

• Provides pre-determination support:
• Determines if it needs to go out for review and then sends it if necessary to the appropriate party.
• Receives approval from the clients or Account Manager (AM) current contacts to approve cots
• Participates in claims investigations.
• Proactively reaches out to providers to request additional information as needed.
• Facilitates requests from the claims team for additional information needed, i.e., Coordination of Benefit requests.
• Assists with the appeals process including:
• If it is non-reference-based pricing, it is sent to the payor to review.
• Upon response from the payor, review the findings and send out the appropriate letter.
• File the responses under each client folder.
• If it is a reference-based pricing appeal, respond to the first level and file responses under each client folder.
• 2nd level refers to vendor or the person who prices for review.
• If P2P system does not have an update, refer to eligibility and request that they reach out to the group. 
• Performs clerical duties as needed, including back up and support to other staff.

Required Skills/Abilities:

• Strong verbal and written communication skills.
• Exhibits strong problem-solving skills and ability to work autonomously.
• Has a strong sense of professionalism and personal accountability.
• Ability to organize, prioritize workload, and manage time well.
• Working knowledge of Microsoft Outlook, Word, Excel, PowerPoint, Adobe, and other systems related to operations and administration, like CRM.
• Strong work ethic and attention to detail.

Education and Experience:

• High school diploma or GED.
• Associate degree or higher in a business-related field is highly desirable.
• Proven experience as an account coordinator, sales coordinator, or similar role.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Ascendo is an equal opportunity employer. We welcome and encourage applications from all qualified candidates, and we do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability. Join our team and be a part of our commitment to excellence in payroll management.

Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.

Contact information

Nicholas Cretella