Claims Inquiry Representative

Claims Inquiry Representative

05 Nov 2024
Michigan, Troy, 48007 Troy USA

Claims Inquiry Representative

Responsible for replying to web-form inquiries submitted to Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and for delivering a solution to our clients in a succinct, professional, and timely manner. Must maintain appropriate documentation and account records and ensure all work is in compliance with all legal, regulatory, and internal Integra policies and procedures, as applicable (including, but not limited to HIPAA compliance) at all times.Salary: $18.00/hourJOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES

Ability to work with multiple health plan payors and remain flexible in day-to-day assignments.

Strong attention to detail is required.

Ability to respond professionally and thoroughly to provider inquiries in a timely manner.

Must be self-motivated to use available resources to investigate and problem solve.

Understand and perform duties in compliance with State and Federal regulations and the policies and procedures of Integra Partners and our clients.

Ability to follow written and verbal directions.

Ability to meet consistent and punctual attendance expectations.

Must be flexible and willing to adapt to a changing environment.

Must be committed to adding value and contribute positively to the company and department.

Accountable for daily productivity goals at or above the current production metric

Must maintain a minimum bandwidth internet service of 200 MPS download speed to adequately perform daily job duties.

Maintain a climate of teamwork and collaborative problem solving.

Perform other duties as assigned.

EDUCATION: High school diploma requiredEXPERIENCE:

Former medical billing experience required.

Strong computer/keyboarding skills – including all Microsoft Office applications (Word, Excel, Outlook, etc.) with an ability to learn new programs where applicable.

Familiarity with 1500 claim forms and DMEPOS services

Familiarity of ICD-10, HCPCS, and medical terminology

Must be able to correctly read and assess medical documents and resources.

Motivated and able to work independently within a fast-paced, team environment.

Strong organizational and critical thinking skills

Must be reliable and meet attendance expectations.

Benefits Offered

Competitive compensation and annual bonus program

401(k) retirement program with company match

Company-paid life insurance

Company-paid short term disability coverage (location restrictions may apply)

Medical, Vision, and Dental benefits

Paid Time Off (PTO)

Paid Parental Leave

Sick Time

Paid company holidays and floating holidays

Quarterly company-sponsored events

Health and wellness programs

Career development opportunities

Remote OpportunitiesWe are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington.Our StoryFounded in 2005, Integra Partners is a leading network management company specializing in Orthotics, Prosthetics, and Durable Medical Equipment. We are reimagining access to in-home healthcare to improve the quality of life for the communities we serve.With locations in New York City and Michigan, plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.Powered by JazzHR

Related jobs

Job Details

  • ID
    JC52831140
  • State
  • City
  • Full-time
  • Salary
    N/A
  • Hiring Company
    Integra Partners
  • Date
    2024-11-05
  • Deadline
    2025-01-04
  • Category

Jocancy Online Job Portal by jobSearchi.