Reconsideration Specialist at Concentra

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Jan, 26

Salary

0.0

Posted On

11 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Attention To Detail, Customer Service, Problem-Solving, Communication, Organizational Skills, Medical Billing, CPT Coding, ICD-9 Coding, Workers Compensation, Confidential Information Handling, Flexibility, Initiative, Service Mentality, Sense Of Urgency

Industry

Hospitals and Health Care

Description

Overview 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. The Central Billing Office (CBO) Reconsideration Specialist 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 Communicates improper payments from payors Identifies and monitors incorrect reimbursement 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 CBO supervisor/manager regarding issues and resolution 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. Qualifications Education Level: High School Diploma or GEDMajor: Degree must be from an accredited college or university. Job-Related Experience 1- 3 years’ experience in medical billing or collections Job-Related Skills/Competencies 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 Strong computer skills Working knowledge of medical CPT/ICD-9 coding Strong problem-solving skills Strong communication skills Strong organizational skills Ability to work in fast-paced environment Strong attention to detail Ability to research workers compensation and coding rules Clear understanding of workers compensation reimbursement guidelines and regulations Ability to work independently Strong customer service skills Ability to assist peers and train new colleagues Additional Data Employee Benefits 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, & Dental Plans Life & Disability Insurance Paid Time Off & Extended Illness Days Offered Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts 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 reasonable 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

Responsibilities

The Reconsideration Specialist processes billing adjustments and reconsideration payments, ensuring compliance with Concentra and Central Billing Office policies. They communicate with payors regarding improper payments and follow up on previously sent reconsiderations.