Temp-to-Hire Medical Claims Analyst!
Schedule: Mon-Thurs 8am-4:30/5pm (once a week 11am/12pm-8pm), Fri 8am-4pm
Job Duties:
- Communicate directly with rendering providers daily to acquire/confirm irregularities within service(s) documented in the EHR, via encrypted email.
- Acquire knowledge of all Behavioral Health and Physical Health documentation workflows related to regulation/requirements
- Review all services for accuracy on items such as duration, appropriate service type selection, and encounter form requirements.
- Report, manage and follow up with any irregularities found to rendering providers within a timely manner, to ensure timely submission to the insurance carrier(s).
- Utilizing the EHR, create to do item(s) for any rendering provider’s service(s) needing corrections/update.
- Work collaboratively with all in house department(s) to ensure accuracy of all services rendered, assisting with the submission of a accurate claims.
- Work collaboratively with billing lead to identify potential areas for risk control and assist with potential submissions.
- Complete weekly follow up on all pending items to ensure timeliness of claim submission, including sending reminders for all pending items.
- Process all clinical discharges for balances, including updating insurance tab.
- Process initial screening of all clinical evaluations, including reporting any discrepancies to appropriate personnel
Requirements:
- Bilingual Preferred
- Associate’s degree in Business/Finance or Billing Certification (Certified Professional Coder (CPC) or Certified Billing Professional (CPB)) and minimum of three (3) years billing or coding experience in the Health Care Industry required
- Computer and billing software program experience required
- Strong MS Office experience
Interested in learning more about this exciting opportunity? Please send your resume to careers@gagepersonnel.com for consideration.
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