Job details
Job type full-time
Full job description
Overview:
Let`s face it.
You wouldn`t be on our career page reading this if you weren`t in the job market looking for a changeIntrigued?
So are we.
The conditional payment analyst is responsible evaluating medicare conditional payment letters and
Working with clients and medicare to effectuate a successful dispute or appealThis position ensures all
Services are completed with highest quality and integrity and that all work is in full compliance with client
Contractual agreements, regulatory agency standards and/or federal and state mandatesThe conditional
Payment analyst is also responsible for maintaining communication with the sales team to ensure proper
Communication with the client.
This is a remote positionThis role is a full time position with a standard work schedule monday-friday, 8am-5pmIt may be necessary to work overtime depending on business needs.
Read on and apply todayWe can’t wait to meet you!
Responsibilities:
Evaluate medicare conditional payment letters, notices and demands to determine the appropriate
Course of action and provide claims-appropriate recommendations to clients.
Work with ecs sales team and client / claims handler to obtain all necessary information in order to
Successfully perform appeal or dispute.
Triage conditional payment correspondence upon receipt.
Create clear, concise and articulate disputes and / or appeals on behalf of ecs clients.
Appropriate documentation of all system notes and e-mails.
Working with team manager to ensure client correspondence is logical and up to date.
Assist with addressing issues and solving problems as needed.
Regularly communicates with management and provides support as needed.
Perform quality assurance as needed.
Perform introductory training to new employees and ongoing training to staff in the conditional
Payment department as needed.
Medicare secondary payer demand letter conditional payments statute of limitations appeal(s) dispute(s) demand letter center for medicare and medicaid commercial repayment center
Qualifications:
Minimum 1-3 years of administrative clerical experience.
Must have strong knowledge of multiple software programs, including but not limited to
Microsoft word, outlook, excel, and the internet.
Must demonstrate exceptional communication skills by conveying necessary information
Accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must possess the ability to manage change, delays, or unexpected events appropriately.
Education and/or experience
Bachelor`s degree or equivalent requiredExperience in the insurance industry preferred.
Who we are:
Examworks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, medicare compliance, case management, record retrieval, document management and related servicesOur clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers` compensation insurance coverages.
Examworks, llc is an equal opportunity employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
Equal opportunity employer - minorities/females/disabled/veterans
