Reconsideration Specialist Full Time
Job Id
152053
Job Location
Westminster, CO
Employment Type
Full Time Regular
Industry
Health Care
Concentra
20210217T201221Z
https://www.concentra.com/careers/job-search/co/westminster/central-billing-office/152053/
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.
Benefits
- 401(k) with Employer Match
- Medical/Vision/Prescription/Dental Plans
- Life Insurance/Disability
- Paid Time Off
- Colleague Referral Bonus Program
This position is eligible to earn a base compensation rate in the range of $15.34 to $23 per hour depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
Concentra is an Equal Opportunity Employer, including disability/veterans
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, sexual orientation, gender identity, disability or medical or veteran status in accordance with federal law. In addition, Concentra Inc. complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities.