Configuration Systems Analyst III, Pricing, Networx, SQL
CareSource
SQL
Job Level
Mid-LevelSenior
About the role
- Insurance Specialist responsible for identifying insurance claim denials and claims processing errors to resolve accounts
- Resolve unpaid/denied claims using proprietary software, phone calls, letters, client systems and insurer web portals
- Review UB04 claim forms, EOBs and medical records to determine appropriate course of action
- Maintain familiarity with client preferences and known issues
- Meet monthly production and quality expectations
- Comply with HIPAA privacy laws
- Other duties as assigned
Requirements
- High School Diploma or equivalent
- At least one year of physician and/or hospital AR experience (preferred)
- Knowledge of UB04 claim forms, EOB’s and medical records (preferred)
- At least one year of Epic, Cerner, Meditech or other EMR experience (preferred)
- Knowledge of basic computer functions
- Ability to work effectively in a remote environment
- Strong verbal and written communication skills
- Basic mathematics skills (addition, subtraction, calculate percent, etc.)
- Ability to analyze and interpret documents, contracts, notes, and other correspondence
- Ability to multitask in a fast-paced environment
- Organization skills with strong attention to detail
