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 payorsIdentifies and monitors incorrect reimbursement issuesIdentifies and applies appropriate adjustments per contracts or state requirementsProcesses and monitors all reconsiderations ensuring processing with the appropriate state reports, transcription, and explanation of benefitsFollows-up on all previously sent reconsiderations for proper paymentProcesses short/zero payments for reconsiderationsApplies proper adjustmentsCommunicates with CBO supervisor/manager regarding issues and resolutionPerforms other duties as assignedThis 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
Major: Degree must be from an accredited college or university.
Job-Related Experience
1- 3 years’ experience in medical billing or collectionsJob-Related Skills/Competencies
Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and FlexibilityAbility to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutionsOutstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalismThe ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policiesStrong computer skillsWorking knowledge of medical CPT/ICD-9 codingStrong problem-solving skillsStrong communication skillsStrong organizational skillsAbility to work in fast-paced environmentStrong attention to detailAbility to research workers compensation and coding rulesClear understanding of workers compensation reimbursement guidelines and regulationsAbility to work independentlyStrong customer service skillsAbility to assist peers and train new colleaguesAdditional Data Employee Benefits401(k) Retirement Plan with Employer MatchMedical, Vision, Prescription, Telehealth, & Dental PlansLife & Disability InsurancePaid Time Off & Extended Illness Days OfferedColleague Referral Bonus ProgramTuition ReimbursementCommuter BenefitsDependent Care Spending AccountEmployee 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.
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