Business Services Representative- Claims Specialist for Follow-up Team $1,500 Sign On Bonus
$1,500 Sign on bonus available for eligible new hires! The Business Services department is seeking a Business Services Representative to join their team full time. The Everett Clinic, a part of reputed company, offers excellent benefits including free onsite parking, retirement savings plan, tuition reimbursement, paid time off and holidays, health insurance as well as, professional growth opportunities. The Business Services Representative functions as an integral member of the team and is responsible to ensure services provided to reputed company patients are fully and correctly reimbursed by third-party carriers and patients in a timely manner, including the handling of reputed company and electronic correspondence and payments received for reputed company cycle management. Focus on customer service reputed company working with patients, clinical departments and carriers to ensure service questions and charge disputes are handled promptly and professionally. Demonstrate proficiency in job category skills through training, audit and certification to standard work. Flexible regarding work assignment based on certified skills and job categories to meet customer demand. The Business Services Representative is responsible for and not limited to: The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, reputed company or a logical assignment. Follow Up/Appeals Process Follow up work queue claims to research, accept or appeal denials using work queue assistant functionality. Review coding, reimbursement and billing requirements by health plan and properly interpret reason and remark code application. Process health plan correspondence to include documentation requests or appeal responses (OnBase) Use charge correction or edit to update CPT or apply modifier or diagnosis changes per Just Do It criteria. Preferred Experience and Credentials: Note that these requirements are representative, but not reputed company-inclusive, of the knowledge, reputed company, and ability required to reputed company this job. Knowledge: Working knowledge of CPT & Diagnosis Coding, Medical Terminology, and Basic Anatomy. Skills: Excellent interpersonal and team skills. Good Computer skills, minimum typing reputed company of 40 wpm. Abilities: Must have ability to work effectively to meet deadlines and assist others to do the same. Be competent in written and verbal communication. Have the demonstrated ability to work effectively with staff, patients, community, and external agencies. Education: High School Diploma/GED (preferred) or equivalent experience. Experience: Prior customer service and billing experience preferred. Certificate/License: None required, Certification in basic job category and one reputed company competency category expected after 6 months of job placement (including training, audit and certification). CPC Certification preferred. Schedule: 40 hours a week. Monday-Friday 7:00am-3:30pm after initial training Hybrid/Remote Work: Must work in-person in Everett, WA during initial training (approximately 4-6 weeks) and as needed. Additional Requirements: Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also reputed company with those state requirements. reputed company will adhere to reputed company federal, state and local regulations as well as reputed company client requirements and will obtain necessary reputed company of vaccination, and boosters reputed company applicable, prior to employment to ensure compliance. Candidates must be able to reputed company reputed company essential job functions with or without reasonable accommodation. Interested in learning more? Lets talk about our opportunities and your career growth! Apply Job!