Healthcare Billing & Claims Support Associate (REMOTE)

Company: SUMMIT PARTNERS
Location: Hartford
Posted on: March 14, 2023

Job Description:

Career - - Healthcare Billing & Claims Support Associate (REMOTE) CareCentrix Remote Applyfor this job

• Job Type: Full-Time
• Function: Accounting/Finance
• Industry: Healthcare Services
• Post Date: 03/08/2023
• Website: carecentrix.com
• Company Address: 20 Church Street, 12th Floor, Hartford, CT, 06103
• Salary Range: $33,518 -- -$41,000 About CareCentrixCareCentrix is a leader in managing care to the home. CareCentrix provides optimal access to quality home care for more than 19 million lives by connecting providers with patients and helping them navigate the complex home care system. Job Description Overview This position receives/responds to provider inquiries on claim issues. Researches information by reviewing plan, eligibility, and authorizations to determine appropriate resolution. Works with CSC or RCM to identify areas of opportunity and recommend solutions. Completes special assignments and analyzes provider requests. Assists other departments and interacts directly with providers.
  
  Responsibilities In this role, you will:
  • Handles various inbound or outbound provider calls which include researching, resolving, and documenting issues.
  • Handles RCM authorization and intake changes required for claims and billing processing within a 48 hour turn-around time frame.
  • Analyzes data and determines if CareCentrix claims processing guidelines have been followed correctly by researching plan, eligibility, and patient authorization information.
  • Tracks claim detail errors and communicates to up-line management for coaching and training purposes.
  • Participates in and contributes to performance improvement activities.
  • Participates in special projects and performances other duties as assigned. - Qualifications You should reach out if you have:
    • High School Diploma or the equivalent required
    • Must have minimum 1 year work experience.
    • Two years of customer service, claims processing, medical terminology, medical services or equivalent experience required.
    • Knowledge of basic spreadsheet / word processing / data entry and basic math skills required.
    • Knowledge of Claims Management and URAC standards preferred. What we offer:
      • Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
      • Incentive bonus, Profit Sharing, generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
      • Advancement opportunities, professional skills training, and tuition Reimbursement
      • Great culture with a sense of community. CareCentrix maintains a drug-free workplace. We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.

Keywords: SUMMIT PARTNERS, Hartford , Healthcare Billing & Claims Support Associate (REMOTE), Accounting, Auditing , Hartford, Connecticut