Employer Industry: Medical Claims Review
Why consider this job opportunity
Salary range up to $60,066, depending on experience and geographic location
Eligible for remote work from anywhere within the United States
Opportunity for career advancement and growth within the organization
Supportive and collaborative work environment dedicated to improving lives
Comprehensive rewards package including various employee benefits
What to Expect (Job Responsibilities)
Serve as the main point of contact for the Medical Claims Review team, handling inquiries via phone, fax, and email
Resolve escalated customer service calls and assist medical providers and claims adjusters with inquiries
Provide information on payment status and explain bill review decisions using relevant data
Conduct audits of medical bills for accuracy and process refund requests as necessary
Communicate next steps for appeals and ensure compliance with business rules and fee schedules
What is Required (Qualifications)
High school diploma or equivalency
Minimum of three years of medical office experience
Successful completion of medical terminology and medical coding courses
Prior customer service experience
Strong computer skills, including knowledge of Microsoft Office Suite
How to Stand Out (Preferred Qualifications)
Medical bill coding or auditing experience
Certified Professional Coder-Payer (CPC-P) designation
Good knowledge of medical bill review procedures and state guidelines
Ability to work effectively in a high-volume, fast-paced environment
Strong attention to detail and organizational skills
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
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Why consider this job opportunity
Salary range up to $60,066, depending on experience and geographic location
Eligible for remote work from anywhere within the United States
Opportunity for career advancement and growth within the organization
Supportive and collaborative work environment dedicated to improving lives
Comprehensive rewards package including various employee benefits
What to Expect (Job Responsibilities)
Serve as the main point of contact for the Medical Claims Review team, handling inquiries via phone, fax, and email
Resolve escalated customer service calls and assist medical providers and claims adjusters with inquiries
Provide information on payment status and explain bill review decisions using relevant data
Conduct audits of medical bills for accuracy and process refund requests as necessary
Communicate next steps for appeals and ensure compliance with business rules and fee schedules
What is Required (Qualifications)
High school diploma or equivalency
Minimum of three years of medical office experience
Successful completion of medical terminology and medical coding courses
Prior customer service experience
Strong computer skills, including knowledge of Microsoft Office Suite
How to Stand Out (Preferred Qualifications)
Medical bill coding or auditing experience
Certified Professional Coder-Payer (CPC-P) designation
Good knowledge of medical bill review procedures and state guidelines
Ability to work effectively in a high-volume, fast-paced environment
Strong attention to detail and organizational skills
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
#J-18808-Ljbffr