Join the Leader in the Home Healthcare Industry! Let us be Your Road to Success
Rotech is seeking a Claims Specialist to join the Rotech team. In this position you will be responsible for analyzing, researching and instructing all Billing Centers appropriate resolution of electronic claim edits ensuring submission of electronic claims to payers. Ensures electronic remittance advices are routed to the appropriate Billing Center by analyzing and modifying routing logic with clearing house vendor.
Why work for Rotech? If we take a look at all the ways employees benefit from working at Rotech, we have a philosophy we like to call: "The Rotech Difference."
What's the Rotech Difference? It's made up of all the benefits, services and offerings available to Rotech Employees. It is the employee-based strategies that make our company an employer of choice in the healthcare industry. As a member of the Rotech Healthcare Team, employees can take advantage of many great opportunities as part of their career path.
Essential Duties and Responsibilities:
Collaborates with Rotech's clearing house vendor to determine the validity of claim edits and determine if system programming is needed to resolve the edit
Researches and trouble shoots application errors, transmission errors and/or payer clearing house errors and identifies possible resolution by reviewing claim edits by analyzing 835 files, payer companion guides, clearing house edit rules and payer claim submission guidelines and IMBS data to identify needed elements for complete transmission of claims
Conduct conference calls, leading in troubleshooting a problem resolution on individual and global level
Instructs Billing Centers on appropriate process for resolution of claim edits
Maintains and distributes Claim Edit Resolution Guide for training and education
Performs maintenance to various claims master tables ensuring accurate data exists for claims logic
Researches contract set-up, item master and any other potential claim process change to proactively solve problems, provide timely resolution and ensure minimal financial impact to Rotech's claims. Identifies the most appropriate course of action for problem resolution and effectively communicates plans to those impacted
Resolves identified claims issues in a timely fashion to mitigate financial risk in Rotech's claims processing cycle
Identifies payers that can transmit electronically and works with payers, Billing Centers and clearing house vendor to maximize electronic claims submission
Minimum of one year directly-related experience in the medical billing industry
Two year degree, or equivalent combination of college education and/or related work experience in healthcare, billing, and/or industry contracts
Walk, sit, talk, and listen for extended periods of time
Regularly review documents with small print
Utilize computer for long periods of time
Career Path and Management opportunities
Health and wellness benefits to include medical, prescription, dental and vision plans, short term and long term disability, supplemental life insurance and flexible spending accounts
Employee Assistance program
PTO and paid holidays
Employee Referral program
Employee Recognition program
Employee Service Program
Make the right move, Contact us today!
This application process will take approximately 2-5 minutes to complete. The hiring manager will review your resume and contact you if your qualifications match our needs. We appreciate your interest in Rotech Healthcare Inc.
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities
Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy, gender identity or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.
Rotech Healthcare Inc