**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**
*This position is located Remote in Jacksonville, FL United States*
*This position requires a credit check*
Position Purpose:
Provides lead work and subject matter expertise through technical support and one-on-one training. Computes, classifies, records and maintains numerical data in accordance with regulations, policies and procedures to keep financial records complete and provides general office duties. Ensures the completeness of the dispute before it goes to a Dispute Resolution Reviewer (DRR) decision-maker, including, but not limited to, confirming the administrative fee has been received and accepted, prior to passing the dispute to the DRR for resolution.
Essential Responsibilities:
- Serves as a lead staff member and subject matter expert for the Dispute Resolution Analysts and/or Clerks.
- Reviews documentation and communicates with insurance carriers and providers as needed.
- Reviews and analyzes medical billings for appropriate payment classifications.
- Uses subject-matter knowledge and judgment related to pricing disputes to resolve processing issues.
- Accesses electronic financial payment information to answer general questions as well as those related to specific accounts.
- Assists with questions related to the contract or project. This may include, but is not limited to, corrections and detailed explanations as to how to properly comply with Centers for Medicare & Medicaid Services (CMS) guidelines.
Minimum Qualifications
Education
- High School diploma or equivalent
Experience
- Four (4) years general office experience
- College education or technical training in administration, business, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
- General accounting, preferred
- Healthcare Industry, preferred
Benefits
C2C offers an excellent benefits package, including:
- Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
- Section 125 plan
- 401K
- Competitive salary
- License/credentials reimbursement
- Tuition Reimbursement
EOE Vet/Disability
