Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward – always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better.
Under indirect supervision performs a variety of basic tasks to moderately complex tasks to effectively process various billing adjustments and reconsideration payments according to Concentra and Central Billing Office policies and procedures
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
Communicates improper payments from payors
Identifies and monitors incorrect reimbursem*nt issues
Identifies and applies appropriate adjustments per contracts or state requirements
Processes and monitors all reconsiderations ensuring processing with the appropriate
state reports, transcription, and explanation of benefits
Follows-up on all previously sent reconsiderations for proper payment
Processes short/zero payments for reconsiderations
Applies proper adjustments
Communicates with payors regarding issues and resolutions
Performs other duties as assigned
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
QualificationsEducation Level: High School Diploma or GED
Job-Related Experience
1- 3 years’ experience in medical billing or collections
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
Proficient with Microsoft Excel, Outlook, Word
Ability to communicate effectively utilizing customer service and organization skills
Excellent time management skills with the ability to work under tight time schedules
Excellent writing and documentation skills
Strong attention to detail
Ability to operate 10-key numeric pad by touch
Decision making and problem-solving skills
Ability to work independently as well as a team player
Ability to handle multiple tasks, projects, duties, and priorities
This position is eligible to earn a base compensation rate in the range of $21.46 to $24.00 hourlydepending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
Accepting applications through 6/11/24
External candidates: submit your application on concentra.com/careers
Current colleagues: visit the internal career portal on the main page of MyConcentra to apply
This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.
We will ensure that individuals with disabilities are provided rea sonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Concentra is an equal opportunity employer, including disability/veterans
Introduction: My name is Patricia Veum II, I am a vast, combative, smiling, famous, inexpensive, zealous, sparkling person who loves writing and wants to share my knowledge and understanding with you.
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