Repricing-Pm Coordinator

Allied Benefit Systems, LLC Chicago , IL 60607

Posted 1 week ago

Department: Repricing/PM Department

FLSA Status: Non- Exempt

Job Status: FT

Reports To: Assistant Manager of Repricing/PM

Positions Supervised: N/A

Work Schedule: Monday through Friday;Flexible full-time hours

Assessments: Predictive Index Cognitive and Behavioral Assessments

Position Summary

The Repricing/PM Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims through the use of multiple applications to obtain discounted rates. Additionally, provide assistance to the Provider Maintenance Team and assist with the year-end B Notice Project.

This position requires a person that is well organized and can work independently and must be able to work under extreme pressure and meet deadlines.

Essential Functions

  • Repricing of CMS1500 and UB04 forms for various PPO networks
  • Ability to use several different computer applications to obtain the information needed to correctly reprice a claim
  • Ability to key claims once repriced into the QicLink system
  • Ability to communicate effectively with various departments to resolve issues
  • Must be able to re-price and key claims with a minimum of 99% accuracy

Position Qualifications

Communication Communicates effectively both internally and externally, where applicable. Includes both written and verbal communication.

Dependability Meets deadlines, works independently, accountable, maintains focus, punctual, and maintains good attendance record.

Initiative Takes action independently, seeks new opportunities, and strives to see projects to completion.

Interpersonal Skills Builds strong relationships, is flexible/adaptable, works well with others, and solicits feedback.

Job Knowledge Understands the facets of job, aware of duties and responsibilities, and keeps job knowledge current.

Organization Skills Information organized and accessible maintains efficient work space, and manages time well.

Problem Solving Strives to understand contributing factors, works to resolve complex situations.

Productivity Manages workload, works efficiently, and meets goals and objectives.

Quality Strives to eliminate errors, accurate work is a priority, seeks opportunities to improve product/services

Self-Development Looks for opportunities to increase knowledge, works to increase responsibility, strives to achieve personal goals and/or maintains licenses and other pertinent requirements.

Teamwork Accountable to team, works to meet established deliverables, appreciates view of team members, and respectful.

Technical Skills Maintains current understanding of technical process/equipment, uses technology to increase performance/productivity; effectively uses online tools and resources.

Requirements

Education

High School Education or GED required.

Experience

Experience with HCFA and UB92s a plus but not a requirement.

Skills & Abilities

Microsoft Word, Excel, Outlook, Access databases software programs

Ability to key a minimum of 10,000 keystrokes per hour.

Other Requirements

Fast accurate keying of both alpha and numeric information.

Physical Demands

Ability to sit and type for long periods of time.

Work Environment

Clean professional in-office environment

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Repricing-Pm Coordinator

Allied Benefit Systems, LLC