Claims Processing Analyst-25465
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Job Location:
Albany, GA - USA
Monthly Salary:
$ 24 - 24
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Job Description
Work Schedule: M-F 8:30am 5:00pm (40 Hour Work Week) OR 9:00am 5:00pm (37.5 Hour Work Week)Telecommuting: This position may be eligible for telecommuting up to 50% hours scheduled to work in a two (2) week pay period. For new hires it is typical that the first six (6) weeks of the assignment would be on site with the possibility of applying for a telecommuting work schedule at that point. All requests are reviewed based on operation need. A laptop and docking station would be provided for remote work use at that time.
Duties:
Determine appropriate routing for reimbursement of AIHP medical providers;
Process AIHP Nation pharmacy and vision memberships;
Support accounts/payable process (key vouchers for AIHP/OHEHR);
Provide administrative support (minutes field calls from claims hotline) to AIHP contractors;
Assist in preparation of periodic reports and analysis;
Assist in the implementation and maintenance of policies and procedures related to control and processing of payment requests;
Manage the Units workflow troubleshoot and report to supervisor when necessary;
Respond to inquiries from providers and Nation billing clerks.
Skills required:
General/Basic Understanding of the medical claims submission process which includes analyzing Explanation of Benefits (EOB) forms to interpret payment information ability to read and interpret Medicaid billing schedules and policies as well as Current Procedural Terminology (CPTs) and Healthcare Common Procedural Coding System (HCPCS);
General knowledge of automated accounting systems;
Ability to analyze data and apply basic Generally Accepted Accounting Principles (GAAP) when necessary;
Proficiency in Microsoft Excel and Word programs;
Good written and oral communication skills as well as good organizational skills.
Preferred Skills:
2 years work experience as a Medical Coder Billing Specialist or equivalent.
Required Experience:
IC
Key Skills
- Corporate Paralegal
- Baan
- IT Sales and Marketing
- Civil Quality Control
- Activex
- Jboss
About Company
Who We Are & What We Do Established in 2005, Knowledge Builders Inc. (KBI) provides Information Technology Consulting, Administrative and Health Care Staffing solutions, Payrolling and Call Center services to companies and governmental entities of all sizes. KBI is a Woman-Owned Bus ... View more
