Concentra, Inc.
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 GEDMajor: 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 regulationsAbility to work independently
Strong customer service skills
Ability to assist peers and train new colleagues
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 that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.
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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 GEDMajor: 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 regulationsAbility to work independently
Strong customer service skills
Ability to assist peers and train new colleagues
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 that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.
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