Remote
Job ID 2022-13626 Category Claims Support Team Min USD $16.35/Hr. Max USD $20.00/Hr.
Overview
This position receives/responds to provider inquiries on claim issues. Researches information by reviewing plan, eligibility, and authorizations to determine appropriate resolution. Works with CSC or RCM to identify areas of opportunity and recommend solutions. Completes special assignments and analyzes provider requests. Assists other departments and interacts directly with providers.
Responsibilities
In this role, you will:
Handle various inbound or outbound provider calls which include researching, resolving, and documenting issues.
Handle RCM authorization and intake changes required for claims and billing processing within a 48 hour turn-around time frame.
Analyze data and determine if CareCentrix claims processing guidelines have been followed correctly by researching plan, eligibility, and patient authorization information.
Track claim detail errors and communicates to up-line management for coaching and training purposes.
Participate in and contribute to performance improvement activities.
Participate in special projects and performances other duties as assigned.
Qualifications
You should reach out if you have:
High School Diploma or the equivalent required
Must have minimum 1 year work experience.
Two years of customer service, claims processing, medical terminology, medical services or equivalent experience required.
Knowledge of basic spreadsheet / word processing / data entry and basic math skills required.
Knowledge of Claims Management and URAC standards preferred.
What we offer:
Compensation Range $16.35 – $20.00/hour plus Incentive Bonus Opportunity
Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
Incentive bonus, Profit Sharing, generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
Advancement opportunities, professional skills training, and tuition Reimbursement
Great culture with a sense of community.
CareCentrix maintains a drug-free workplace.