Claims Repricing Specialist

Claims Repricing Specialist

Company: Allied Benefit Systems
Location: Chicago, Illinois, United States
Work Arrangement: 100% Remote
Employment Type: Full-time
Category: Operations
Salary: $20.00/hour
Annualized Salary: Approximately $41,600/year based on 40 hours/week

Description

POSITION SUMMARY:

The Repricing Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims using multiple applications to obtain discounted rates.

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 re-price a claim.
• Ability to key claims once repriced into the QicLink system.
• Ability to communicate effectively with various Team members and departments to resolve issues.
• Must be able to re-price and key claims at 99% or greater accuracy.
• Other duties as assigned.

EDUCATION:

• High School diploma or equivalent required.

EXPERIENCE AND SKILLS:

• Minimum of 1 or more years data entry required.
• Intermediate level Microsoft Word, Excel, Outlook skills required.
• Microsoft Access experience is a preferred.
• Experience with HCFA and UB92’s preferred.
• Previous customer service experience is preferred.

POSITION COMPETENCIES:

• Accountability
• Communication
• Customer Service Orientation
• Functional/Technical Skills
• Quality Focus
• Time and Task Management

PHYSICAL DEMANDS:

• This is standard desk role requiring extended periods of sitting and computer work.

WORK ENVIRONMENT:  

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.