Description:
1. Adjudication of all claim types such as physician, hospital, residential, and ancillary claims.
2. Monitoring claims aging to ensure timely resolution of all pended claims.
3. Maintains acceptable levels of productivity and quality control.
4. Awareness around fraud detection and aberrant provider billing practice patterns.
5. Perform adjustment on incorrectly paid claims.
6. Offer suggestions for system enhancement and improvements to the claim workflow process.
7. Assist team members over special projects.
8. Assist team members as needed and appropriate with general office tasks, including mail.
9. Maintain polite and professional communication via phone, e-mail, and mail.
10. Handle sensitive information in confidential matters.
11. Perform other administrative duties (supplies, scanning, document destruction, etc.).
12. Anticipate the needs of others to ensure their seamless and positive experience.
Qualifications:
3-5 years of medical coding & billing experience
Knowledge of ICD-10, CPT, and HCPC Coding
Knowledge of healthcare claims processing and provider contracts
Hours:
Monday-Friday 8AM-5PM Hybrid Role - 3 days minimum required in office!
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.