Repricing Associate (6 Month Contract)

The Jonus Group•Omaha, NE

4h•Remote

About The Position

Seeking a detail-oriented and motivated Repricing Associate to join a team. In this role, you will be responsible for data entry of billing information, verification of ICD-10 and CPT-4 codes, and submission of reconsiderations. Reporting to the Workers’ Compensation Claims Manager, you will play a critical role in ensuring compliance with state laws and maintaining the accuracy of medical billing processes. This is a fully remote, temporary position expected to last through Q2 of 2027.

Requirements

Strong understanding of billing and coding procedures, including medical terminology.
Ability to meet turnaround time standards and comply with state law requirements in the Medical Bill Repricing process.
Proficiency in preparing detailed reports with minimal supervision.
Strong verbal and written communication skills, attention to detail, and ability to multitask.
Ability to navigate multiple systems and screens simultaneously.
Self-motivated, flexible, and capable of working both independently and collaboratively in a virtual office environment.
Strong customer service skills and ability to manage workload effectively to meet deadlines.
Proficiency with MS Word, Excel, Outlook, Teams, Slack, Zoom, and internet applications.
Reliable internet connection is required.
Experience in a medical billing environment is required.
Familiarity with Medicare/CMS requirements.

Nice To Haves

College degree or college-level education preferred.
Coding accreditations are a bonus.

Responsibilities

Perform data entry of billing and Medicare reporting while verifying ICD-10 and CPT-4 codes.
Research, respond to, and track inquiries to ensure compliance with state laws.
Handle Electronic Data Interchange (EDI) claim rejections and apply manual repricing as needed.
Process and administer reconsiderations and appeals while collaborating with vendors and provider networks.
Research issues related to provider returned checks and reimbursement inquiries, and process these requests.
Participate in quarterly oversight calls/meetings with PPO Networks and vendors.
Cross-train on all provider network tasks within the department.
Prepare comprehensive reports with minimal guidance.
Perform other duties as assigned.