Reconsideration Specialist Position Available In Fulton, Georgia
Tallo's Job Summary: The Concentra Reconsideration Specialist in Atlanta, GA, is a full-time position with an estimated salary of $37.9K - $46.7K a year. Responsibilities include processing billing adjustments and reconsideration payments, communicating with payors, and ensuring proper payments. Qualifications include 1-3 years' experience in medical billing, strong communication skills, and knowledge of CPT/ICD-9 coding. Employee benefits include 401(k) matching, health insurance, paid time off, and more.
Job Description
Reconsideration Specialist Concentra – 3.3
Atlanta, GA Job Details Full-time Estimated:
$37.9K – $46.7K a year 9 hours ago Benefits Commuter assistance Disability insurance Health insurance Dental insurance Flexible spending account Tuition reimbursement Paid time off Vision insurance 401(k) matching Employee discount Referral program Qualifications Workers’ compensation law Medical collection ICD coding Customer service Mid-level High school diploma or
GED ICD-9
Medical billing CPT coding Organizational skills Computer skills 1 year Communication skills
Full Job Description Overview:
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 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 This 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.
Qualifications:
Education 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 collections Job-Related Skills/Competencies 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
Additional Data:
Employee 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 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. Concentra is an Equal Opportunity Employer , including disability/veterans
