Underpayment Specialist Central Billing Office jobs in United States
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McLaren Health Care · 1 month ago

Underpayment Specialist Central Billing Office

McLaren Health Care is seeking an Underpayment Specialist to perform audits of patient accounts to identify inaccurately under adjudicated accounts by the payer. The role involves coordinating audit outcomes, working closely with Revenue Cycle leadership, and identifying process improvements for claims adjudication.

Health CareHospitalMedicalOncologyRehabilitation

Responsibilities

Under minimal direction, completes tasks accurately and timely. Seeks guidance and direction from leadership on tasks assigned
Responds promptly, professionally and courteously to customers’ requests
Cooperates and communicates effectively with all McLaren Health Care team members
Contributes to continuous quality improvement efforts
Organizes time and prioritizes effectively
Practices cost effective measures
Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources

Qualification

Healthcare insurance billingAuditing experienceMicrosoft ExcelCPTHCPCSICD-10 knowledgeQuantitative analytical skillsOralWritten communicationInterpersonal skillsCost effective measuresTeam-orientedOrganizational skills

Required

Associate degree required or equivalent combination of education and relevant experience may be acceptable
Four years healthcare insurance billing experience
Proven skills in Microsoft Office, specifically Excel and Word, Window based applications
Strong quantitative analytical and organization skills
Demonstrated exceptional oral and written communication
Team-oriented with strong interpersonal skills
Ability to understand contracted insurance terms and the various insurance payment methodologies/reimbursement terms
Working knowledge of CPT, HCPCS, and ICD-10
Effectively communicate with the insurance carriers and their representative and customers

Preferred

previous auditing experience preferred

Company

McLaren Health Care

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McLaren Health Care is a fully integrated health network committed to quality evidence-based patient care and cost efficiency.

Funding

Current Stage
Late Stage
Total Funding
unknown
2021-01-01Acquired

Leadership Team

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Chris Candela
President and Chief Executive Officer McLaren Flint
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Chad Grant
Executive Vice President & Chief Operating Officer
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Company data provided by crunchbase