PATIENT FINANCIAL SERVICES - CLAIMS COMPLIANCE ANALYST - CODE: CCA-LBC (CYPRESS-LONG BEACH )
Description
We want to see your distinction. With a collaborative training environment, mentoring and leadership that encourages your growth and advancement, ERN/The Reimbursement Advocacy Firm (ERN/TRAF) offers jobs that advocate for medically appropriate healthcare for the citizens in the State of California. As the representation arm for provider members of the National Council of Reimbursement Advocacy, we strongly promote compliance of Federal and State Reimbursement (Prompt Payment) Laws to ensure patient access to care. We offer competitive salaries, cash incentive plans for top performers, paid time off, holiday pay, referral commissions and bonuses, recognition programs and certified compliance educational training that provides career growth opportunities. Our Analysts handles all follow up for claims payment compliance, rebills and contested claims awaiting lawfully requested information. Analysts will be responsible for sending Compliance Audits and securing claims status determination for the regulatory appeal and complaint process. Responsibilities include, and are not limited to: ? Performs follow-up and claims compliance of all insurance and third-party payor balances: written inquiries, telephone calls, meetings, and online inquiries with insurance companies, Medicare, Medicaid, patients, charity organizations, and other payors. ? Reviews and resolves medical claims. ? Analyzes accounts and reconciles balances. ? Interacts with both insurance companies and patients in explaining charges, prompt pay laws and payor requirements. Candidates must possess: ? A vocational degree in medical billing, coding; or a high school diploma or GED with at least 1 year medical provider experience. ? PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential. ? Great communication and typing skill (40wpm.) ? Ability to begin and follow through on projects and work independently with minimal supervision required. ? ABILITY TO MEET TARGETS AND DEADLINES. ? Interpersonal Skills ? Ability to work well with others in a professional setting. Able to work, communicate effectively, and cooperate with co-workers, supervisors, and other company departments. ? Self-Motivation ? Ability to seek out new assignments and assume extra duties when appropriate. ? Quality Production ? Able to produce efficiently and accurately a significant volume of quality work in a specified period of time to meet department goals. ? Reliable/Respons ible ? Consistent in attendance, punctuality, follow through, and task completion. Accepts responsibility for mistakes and accountable for errors. ? Job Knowledge ? Possess, develop, demonstrate, and maintain knowledge required on the job, inclusive of mastering administrative prompt payment laws. ? Adherence to Policy and Company Core Values ? Honest and ethical; follows safety and conduct rules, other regulations, and adheres to all company policies laid out in the employee manual and corporate compliance manuals. For immediate consideration, please e-mail your resume and salary history to jobs@ernenterprises.o rg or fax to 714-995-6901. RESUMES WITHOUT SALARY HISTORY WILL NOT BE CONSIDERED.
Announcement ID: #147755
Published on 11-28-2009
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Contact
- Type of sale:A la Compra
- Estado:Excellent