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in Mechanicsburg, PA

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Hours Full-time, Part-time
Location Mechanicsburg, PA
Mechanicsburg, Pennsylvania

About this job

The Claims Management Representative, Level 1 is responsible for the initial review and billing of any and all claims received in the Inpatient Central Business Office (CBO).

POSITION FUNCTIONS

1. Reviews all accounts for accurate contractual adjustments at the time of billing.
2. Contacts payors and uses websites to obtain claims status updates.
3. Maintains quality resolution steps to stay current on follow-up for all accounts until a payment or denial is received.
4. Obtains a primary payment or denial within 60 days from billing.
5. Communicates with facility staff, CBO management and/or the Accounting Department on any accounts receivable issues or concerning trends. Also communicates with CBO management and Managed Care Specialist regarding any problem payor issues.
6. Analyzes and completes AR month-end spreadsheets accurately and by all assigned deadlines.
7. Maintains a productivity of no less than 50 accounts per day. This is subject to change based on volume changes and operational needs.
8. Supports the mission/core values and direction of Select Medical both within the CBO and throughout the organization.
9. Performs any additional duties and projects as assigned by the CBO management team.
POSITION QUALIFICATIONS

1. High school diploma or equivalent required.
2. One (1) to two (2) years of claims processing or related work experience. Healthcare claims experience preferred.
3. Basic computer proficiency including Microsoft Word; Outlook (e-mail), and Excel spreadsheet applications.
4. Excellent interpersonal communication skills including: face-to-face, verbal, electronic, and telephonic.
5. Individual must be accurate, organized, and have good time management skills in order to meet deadlines and succeed in this role. Commonly required to use judgment and resourcefulness in this role.

About Aerotek Professional Services:

Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.

Requirements

CLAIMS PROCESSING, MEDICAL BILLING