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Network Services Associate

Company: Icon Consultants
Location: Hartford
Posted on: January 12, 2021

Job Description:

Network Service AssociateHartford, CT (06103)Compensation to be discussed3 month contract with option to extendWhy work for us?! We--are the leading provider of home-based and post-acute care (PAC) solutions, happily announces for the second consecutive year that it has been awarded a Top Workplaces 2020!.Description:This position receives/responds to in- and out-of-network provider inquiries on claim status (payment, denials, rejections, appeals, recoupments, etc.), education on Explanation of Payments and provider portal questions, and other concerns and/or complaints. The appropriate resolution is provided via researching information by reviewing plan, eligibility, and authorizations. Works with CSC or RCM to identify areas of opportunity and recommend solutions.Responsibilities:* Handles various communication channels with providers, including inbound and outbound provider calls which involve researching, resolving, and documenting issues.* Analyzes data and determines if 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.* Accurately identifies complaints and escalates accordingly.Qualifications:* Requires a High School Diploma or the equivalent. Must have minimum 1 year work experience, insurance or claims experience in a production environment.* The ability to effectively multi-task.* Medical terminology, insurance verification or healthcare experience preferred.* Must be proficient and comfortable in a computer-based environment.* Embraces the values of accountability, consistency, engagement, patient compassion, empowerment, respect and outstanding service.#ZR

Keywords: Icon Consultants, Hartford , Network Services Associate, Other , Hartford, Connecticut

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