Senior - oder Managing - Consultant für IT - Projektmanagement mit Fokus auf Versicherungsbranche. Übernahme von Schlüsselfunktionen in IT - Transformationsprojekten.
About the role
- Responsible for non-complex claim submissions and follow-ups in health care billing at Guthrie. Collaborates with Billing Specialists and Insurance companies for accurate and timely resolution.
Responsibilities
- Responsible for non‐complex electronic and paper claim submissions to insurance payers.
- Coordinates required information for filing secondary and tertiary claims.
- Analyzes claims for accuracy, including diagnosis and procedure codes.
- Makes charge corrections or follows up with appropriate parties as needed.
- Follows up with payers on unresponded claims.
- Works denied claims by following correct coding and payer guidelines.
- Teams with Insurance Billing Specialist II and Denial Resolution staff for projects, guidance on more complex billing issues, and training.
- Responds to questions from insurance companies, government agencies, and all Guthrie Medical Group offices.
- Partners with CRC and other Guthrie departments to field billing inquiries.
Requirements
- High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
- Strong organizational and customer service skills a must.
- Experience with office software such as Word and Excel required.
- Previous experience performing in a high volume and fast paced environment.
Benefits
- Health insurance
- 401(k) matching
- Flexible schedules
- Paid time off
- Professional development opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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