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Medical Rebilling Specialist

Concentra

This is a Full-time position in Addison, TX posted November 20, 2021.

Overview:

Under indirect supervision performs a variety of basic tasks to moderately complex tasks to effectively process various billing adjustments and reconsideration payments according to Concentra and Central Billing Office policies and procedures.

Responsibilities

MAJOR DUTIES AND RESPONSIBILITIES:
Communicates improper payments from payors
Identifies and monitors incorrect reimbursement issues
Identifies and applies appropriate adjustments per contracts or state requirements
Processes and monitors all reconsiderations ensuring processing with the appropriate state reports, transcription, and explanation of benefits
Follows-up on all previously sent reconsiderations for proper payment
Processes short/zero payments for reconsiderations
Applies proper adjustments
Communicates with payors regarding issues and resolutions
Performs other duties as assigned
Qualifications

EDUCATION/CREDENTIALS:
High School education or equivalent
JOB-RELATED EXPERIENCE:
1
– 3 years experience in medical billing or collections
DEMONSTRATED JOB-RELATED SKILLS/COMPETENCIES:
Strong computer skills
Working knowledge of medical CPT/ICD-9 coding
Strong problem solving skills
Strong communication skills
Strong organizational skills
Ability to work in fast pace environment
Strong attention to detail
Ability to research workers compensation and coding rules
Clear understanding of workers compensation reimbursement guidelines and regulations
Ability to work independently
Strong customer service skills
Ability to assist peers and train new colleagues
WORKING CONDITIONS/PHYSICAL DEMANDS:
Office Environment
Sitting for extended periods of time
Ability to work extended hours for month end close as needed
Ability to lift light weights of under 15 lbs.

Additional Data
* 401(k) with Employer Match* Medical/Vision/Prescription/Dental Plans* Life Insurance/Disability* Paid Time Off/Holidays* Colleague Referral Bonus Program
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.Concentra is an Equal Opportunity Employer, M/F/Disability/Veteran.

by Jobble

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