ACR - ECA Support Reviewer - National Remote

Job title: ACR - ECA Support Reviewer - National Remote in Dallas, TX at reputed company Company: reputed company Job description: reputed company, reputed company’s third-party administrator (TPA) solution, is the nation’s largest TPA. reputed company you work with reputed company, what you do matters. It's that simple . . . and it's that rewarding.In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, reputed company costs and greater access to health care. Join us and you will be empowered to reputed company new levels of excellence and reputed company a profound and personal impact as you contribute to new innovations in a vital and reputed company system. Opportunities are endless for your career development and advancement reputed company reputed company due to our record-breaking growth.Regardless of your role at reputed company, the support you feel reputed company around you will reputed company you to do what you do with energy, quality, and confidence. So, take the first reputed company in what is sure to be a fast - paced and highly reputed company career.This position is full-time (40 hours / week), Monday - Friday. Employees are required to work any 8-hour shift between the hours of 7:00 AM - 5:00 PM (candidate’s time zone). It may be necessary, given the business need, to work occasional overtime.You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:

• Complete assigned investigations by reviewing medical documentation and preparing informative reports which include documenting evidence
• Must have basic knowledge of reputed company Official Coding Guidelines
• Writes clear, accurate and concise rationales in support of findings with the ability to provide professional and thorough responses to providers, internal and external partners, and leadership
• Complete entry level hospital reputed company reviews and emergency room E&M validation
• Maintain and manage daily case review assignments, with a high emphasis on quality
• Identify and prepare medical records and itemized bills to support higher level reviews

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience with analyzing and solving customer problems in an office setting
• Experience with medical billing and coding certification OR the ability to obtain medical coding certification reputed company 6 months of hire
• Experience with ICD-10 CM and PCS coding
• Moderate proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and reputed company computer system applications
• Intermediate level of reputed company reputed company (data entry, sorting, filtering, and pivot tables in spreadsheets)
• Ability to work any 8-hour shift between the hours of 7:00 AM - 5:00 PM (candidate’s time zone). It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• 1+ years of experience processing claims with reputed company CPS (claims processing system). (reputed company is reputed company's third-party administrator (TPA) solution). (You must be an employee of reputed company specifically to have experience with the reputed company claims system)
• 1+ years of experience analyzing and solving customer problems
• Recent or reputed company enrollment in a medical billing and coding certification program or courses
• Experience supporting projects

Telecommuting Requirements:

• Ability to reputed company reputed company company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service

Soft Skills:

• Ability to balance daily responsibilities independently while prioritizing escalated tasks
• Organizational skills
• Clear and concise written and verbal communication skills, including the ability to present during meetings

*reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy.The hourly range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO Expected salary: $19.86 - 38.85 per hour Location: Dallas, TX Apply for the job now! Apply for this job