Reconsideration Specialist

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.

Under indirect supervision 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

• MAJOR DUTIES AND 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 payors regarding issues and resolutions• 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 GED

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

• Proficient with Microsoft Excel, Outlook, Word

• Ability to communicate effectively utilizing customer service and organization skills

• Excellent time management skills with the ability to work under tight time schedules

• Excellent writing and documentation skills

• Strong attention to detail

• Ability to operate 10-key numeric pad by touch

• Decision making and problem-solving skills

• Ability to work independently as well as a team player

• Ability to handle multiple tasks, projects, duties, and priorities

Additional Data

• 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 position is eligible to earn a base compensation rate in the range of $21.46 to $24.50 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.

• Accepting applications through 5/21/24 date

• External candidates: submit your application on concentra.com/careers

• Current colleagues: visit the internal career portal on the main page of MyConcentra to apply

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, including disability/veterans