Bill Processor

Sheakley Group Of Companies New Canaan , CT 06840

Posted 2 weeks ago

The Bill Processor is full time Mon-Fri 8am or 8:30am to 5pm. We do have the possibility of an in office 4 ten schedule after 90 days. We also have the possibility of work at home after 6 months if all requirements are met prior to setting up to work from home.

QUALIFICATIONS

  • Knowledge and skills at a level normally acquired through the completion of a High School education or comparable work experience

  • Certified Coding Credentials from one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Associate (CCA), Certified Coding Specialist Physician-based (CCS-P), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Payer (CPC-P), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC)

  • Prefer 1 year Bureau of Workers Compensation or Worker's Comp experience

  • Ability to handle sensitive information and maintain a high level of confidentiality

  • Working knowledge of Miller criteria preferred (State, ex rel. Miller v. Industrial Commission, 1994, 71 Ohio St. 3d 229)

  • Be proficient in MCO Policy Reference Guide and Billing and Reimbursement Manual

  • Working knowledge of Bureau of Workers Compensation policies and procedures as they relate to bill payment

  • Working knowledge of ICD and CPT codes as they relate to Workers Compensation Injuries

  • Excellent written and communication skills

  • Excellent Customer Service Skills

  • Experience with various computer programs and data entry skills

  • Ability to multi-task

ROLE AND RESPONSIBILITIES

  • Reports directly to the Operations Supervisor or the Billing Team Leader

  • Process incoming bills/invoices that are received by fax, mail or electronically within the timeframes as set by the Bureau of Workers Compensation

  • Required to meet all quality and production requirements

  • Maintain communication between the billing department and other areas of the Managed Care Organization to resolve billing issues

  • Provide excellent customer service for bill related calls from providers, attorneys and Injured Workers

  • Assist with other departments as needed to facilitate the Managed Care Organization's work flow

  • Demonstrates Sheakley Core Values

  • All other duties as assigned by Supervisor, Team Leader and/or Management

This job description is not intended to be all inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.

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Bill Processor

Sheakley Group Of Companies