REMOTE TO INDIANA MEDICAL CLAIMS SPECIALIST - TEKsystems c/o Allegis Group
Atlanta, GA
About the Job
TEKsystems is looking to hire several REMOTE Medical Claims Analysts for a large hospital out of Indianapolis, IN!
**please only apply if you reside in Indiana, and have 2+ years of medical billing/medical claims analyst experience - please send your most updated resume to rsison @ teksystems.com - all resumes send to this email will be reviewed first**
Description:
The Provider Enrollment Analyst will be responsible for initiating, processing, and completing applications for enrollments of a large hospital's billing providers with government and contracted commercial payers as well as managing the ongoing participation requirements. Additionally, the Provider Enrollment Analyst will apply fundamental knowledge of procedures related to identifying and performing root cause analysis to identify enrollment and claim issues.
Job duties include:
Assist in the full range of Provider Enrollment interaction (includes all actions involved in the process of enrolling with a range of payers (Anthem, Medicare, Medicaid, Delegated which includes up to 40 different payers, and risk based payers (RBMC).
Respond to enrollment research inquiries, and minimize potential revenue delays or losses
Identify, research, and resolve claims issues
Collaborate with other departments to resolve enrollment and claim issues
Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated
Maintain working knowledge of workflow, systems, and tools used in the department
Main function of job is pulling reports out of systems and tracking it into Excel. Excel is REALLY important. Small detail miss will cause error in enrollment-means miss millions of dollars, provider cannot write prescriptions, etc.
Additional Skills & Qualifications:
MUST HAVE:
- 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductibles and medical terminology, etc.)
- Healthcare experience MUST be back office (not registration, customer service, scheduling, etc)
- Ability to navigate through multiple systems at once while on the computer
PREFERRED:
1+ year of medical billing experience (do they understand copays and deductibles and medical terminology, etc.)
From the manager: Wants to see that candidate has "at any time during work career been responsible for production related to revenue loss. In our roles the idea candidate would have some experience in application submission of high volume and/or proficiency in excel. While registration and telephone calls are important our work is more behind the scene and the motivation isn't from having someone sitting in front of you but quite the opposite. You have to be motivated when there is no one in your presence.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. REMOTE TO INDIANA MEDICAL CLAIMS SPECIALIST
**please only apply if you reside in Indiana, and have 2+ years of medical billing/medical claims analyst experience - please send your most updated resume to rsison @ teksystems.com - all resumes send to this email will be reviewed first**
Description:
The Provider Enrollment Analyst will be responsible for initiating, processing, and completing applications for enrollments of a large hospital's billing providers with government and contracted commercial payers as well as managing the ongoing participation requirements. Additionally, the Provider Enrollment Analyst will apply fundamental knowledge of procedures related to identifying and performing root cause analysis to identify enrollment and claim issues.
Job duties include:
Assist in the full range of Provider Enrollment interaction (includes all actions involved in the process of enrolling with a range of payers (Anthem, Medicare, Medicaid, Delegated which includes up to 40 different payers, and risk based payers (RBMC).
Respond to enrollment research inquiries, and minimize potential revenue delays or losses
Identify, research, and resolve claims issues
Collaborate with other departments to resolve enrollment and claim issues
Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated
Maintain working knowledge of workflow, systems, and tools used in the department
Main function of job is pulling reports out of systems and tracking it into Excel. Excel is REALLY important. Small detail miss will cause error in enrollment-means miss millions of dollars, provider cannot write prescriptions, etc.
Additional Skills & Qualifications:
MUST HAVE:
- 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductibles and medical terminology, etc.)
- Healthcare experience MUST be back office (not registration, customer service, scheduling, etc)
- Ability to navigate through multiple systems at once while on the computer
PREFERRED:
1+ year of medical billing experience (do they understand copays and deductibles and medical terminology, etc.)
From the manager: Wants to see that candidate has "at any time during work career been responsible for production related to revenue loss. In our roles the idea candidate would have some experience in application submission of high volume and/or proficiency in excel. While registration and telephone calls are important our work is more behind the scene and the motivation isn't from having someone sitting in front of you but quite the opposite. You have to be motivated when there is no one in your presence.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. REMOTE TO INDIANA MEDICAL CLAIMS SPECIALIST
Source : TEKsystems c/o Allegis Group