The ideal candidate will perform under general supervision a variety of moderately complex to complex tasks related to posting, reconsiderations and adjustments of all payment types to the billing and collection system. The position requires excellent communication, customer service and organizational skills. All tasks must be performed in a timely and accurate manner in accordance with Concentra and Central Billing Office practices, policies, and procedures.
MAJOR DUTIES AND RESPONSIBILITIES:
Transfers payments to other Central Business Offices as necessary and follows appropriate transfer out procedures.
Processes zero pay explanation of benefits and appropriate reasons for zero pay.
Performs and maintains posting level per company policy.
Verifies payments and matches outstanding balances.
Processes batches and uses correct payment transaction type.
Researches and processes charge backs and bad checks.
Creates, reviews, processing of all data on daily reports.
Monitors discrepancies and makes needed adjustments.
Notifies appropriate personnel of trends or problems with specific payers, contracts or fee schedule adherence.
May perform lead duties.
Prepares status report of all reconsiderations.
Prepares and disburses all daily reconsiderations to appropriate carrier or third party administrator.
Applies appropriate adjustments.
JOB RELEVANT EXPERIENCE:
DEMONSTRATED JOB-RELATED SKILLS/COMPETENCIES:
Strong computer skills
Microsoft Word and Excel knowledge and experience
Ability to operate 10 key numerical pad by touch
Ability to work under tight time schedules
Strong customer service and communication skills
Excellent problem solving skills and ability to handle multiple tasks
Ability to work independently
Ability to be detailed oriented
Ability to assist peers
Ability to communicate verbally and in writing
WORKING CONDITIONS/PHYSICAL DEMANDS:
Sitting for extended periods of time
Ability to lift light weights of up to 35 lbs.