Applyđź“Ť United States
đź’¸ 49920.0 - 58240.0 USD per year
🔍 Healthcare
- High school diploma required; Associate’s or Bachelor’s degree preferred
- CPC (Certified Professional Coder), CCS (Certified Coding Specialist) or equivalent medical coding certification preferred
- 2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related position(s)
- Knowledge of Group Health Insurance, Workers' Compensation, No-Fault, and/or Liability industry
- Strong knowledge of medical terminology, CPT and ICD coding, and healthcare billing practices
- Well-developed time-management, organization, and prioritization skills
- Excellent analytical skills
- Customer-service orientation
- Excellent oral and written communication skills
- Knowledge of medical billing procedures
- Ability to gather data, compile information, and prepare summary reports
- Strong interpersonal and conflict resolutions skills
- Ability to work independently and as part of a team a fast-paced, multi-faceted environment
- Demonstrated persistence and attention to detail
- Maintain ongoing knowledge of program requirements
- Analyze and process claims for accuracy, eligibility, and benefits coverage
- Retain and strengthen relationships with clients and members
- Assist members in managing and resolving reimbursement issues related to medical services and covered expenses that are medically necessary
- Correspond to verify if the amounts are related to the claim
- Develop and maintain a working knowledge of medical bill processing, procedures, and supporting systems
- Adhere to quality assurance objectives and goals
- Develop and maintain a working knowledge of all support systems to ensure ever increasing client value and Rising’s returns from administration services
- Research and utilize problem-solving skills to resolve claim discrepancies, errors, or incomplete information by communicating with providers, members, or internal departments
- Keep management updated on activities, issues and developments
- Document all claims decisions and communications with members in the system accurately and timely
- Ensure strict confidentiality of all medical information and adhere to privacy regulations and company policies
- Special projects as assigned by management
Analytical SkillsProblem SolvingCustomer serviceAttention to detailOrganizational skillsTime ManagementWritten communicationInterpersonal skillsVerbal communicationData entry
Posted about 1 month ago
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