Job ID | 283948 | Pos. Category | Corporate - Central Billing Office | Pos. Type | Full Time |
Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward - always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better.
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
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Education Level: High School Diploma or GED
Job-Related Experience
Job-Related Skills/Competencies
This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Concentra is an Equal Opportunity Employer, including disability/veterans