Job Description
Join a team of dynamic, results oriented professionals!
Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review
- Career Growth Opportunities
- Convenience market on site
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- Employee Assistance Program
- Referral Program
- Dental plans & Vision plans
- Eight Paid Holidays per year
- Quarterly incentive plans
- Training Programs
- Fitness Center with personal trainer on site
- Wellness programs
- Flexible work schedule
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing un-adjudicated claims billed to various carriers at their assigned Billing Group in the No Activity/No Response Roles. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM task list assignment, comments, and rebills claim as necessary
- Posts appropriate rejection codes into system when needed
- Assembles and forwards appropriate documentation to the Senior Representative for carrier related issues
- Reviews carrier provider manuals for billing updates as needed
- Reports any consistent errors found during review that affect claims from being processed correctly
- Participates in department meetings with Accounts Receivables Team
- Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
- Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager