Role Overview
This position is responsible for contacting healthcare providers to discuss negotiations for a specific dollar range of eligible claims/bills prior to payment, in order to achieve maximum discounts and savings on behalf of payor/client. The role involves managing a high volume of healthcare claims, performing provider research, addressing counteroffers, and updating provider data base for reference and claims processing.
What You Will Do
Manage a high volume of healthcare claims, perform provider research, address counteroffers, update provider data base, initiate provider telephone calls, and meet established departmental performance metrics.
Why It Might Be a Fit
This role requires strong communication, negotiation, and organizational skills, as well as the ability to work independently and handle confidential information. The ideal candidate will have a minimum of 6 months experience in the healthcare industry and a high school diploma or GED.
Requirements
- Minimum high school diploma or GED
- Minimum 6 months experience in the healthcare industry (provider billing, medical coding, provider collections, insurance, or managed care); 1 year preferred
- State licensure certification, including NY Health and/or P&C State Adjustor license, may be required
- Knowledge of applicable laws and statutes (state, local or federal) for positions focusing on Workers' Compensation or automobile medical ('auto') bills a plus
- Knowledge of general office operations and/or experience with standard medical insurance claim forms
- Good Communication (verbal, written and listening) teamwork, negotiation, and organizational skills
- Ability to process verbal and written instructions
- Ability to use software and hardware related to job responsibilities, including MS Word and MS Excel spreadsheets and database software
Benefits
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- Paid Parental Leave
- 401(k) + match
- Employee Stock Purchase Plan
- Generous Paid Time Off – accrued based on years of service
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year
Originally posted on