Reconsideration Specialist

Concentra • Addison, TX

6d • Onsite

About The Position

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.

Requirements

• High School Diploma or GED
• 1- 3 years’ experience in medical billing or collections
• 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

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED