• Biller

    Job Locations US-PA-Aston
    Posted Date 6 days ago(12/7/2018 9:43 AM)
    Job ID
    2018-1641
    # of Openings
    1
    Category
    Customer Service/Support
  • Overview

    ProCo, a Windham Professionals company with its campus headquarters in beautiful Salem, NH is hiring a Biller for our Aston, PA location. Recognized in 2018 as a Training Top 125 Winner, Windham is not your average accounts receivable management and customer care firm.  Windham was built over 36 years ago and is a place where you will find great people, a collaborative work environment, a fun and exciting culture filled with employee engagement activities, and the room to grow your career as far as your talent and ambition will take you.

     

    Why work at Windham?  Top benefits include:

    • Rewarding and Competitive Pay with Health and Wellness Benefit
    • Employer paid training – Training Top 125
    • Referral bonuses
    • Medical, dental, and vision insurance
    • Flexible Spending Accounts for Medical or Dependent Care expenses
    • Health Savings Accounts when enrolled in an eligible health plan
    • Company-paid life insurance and long-term disability coverage
    • Optional short-term disability and additional life insurance coverage at a low cost
    • 401(k) match and profit share potential
    • Employee assistance program
    • Fitness membership reimbursement when enrolled in a health plan
    • Employee discounts with local business partners
    • Financial Wellness program – we help you make dreams come true!
    • Live Health Online available to all employees and their dependents
    • Windham Living Well program – integrating physical, nutritional, emotional and financial health
    • Free parking

     

    The Insurance Biller is responsible for insurance follow-up, ensuring claims are billed in a timely manner and establish the correct patient liability per the payer contract.

    Responsibilities

    • Identify and report trends in carrier payments and denials
    • Follow-up with payers and other third parties for ensuring timely claims submission
    • Resolve Accounts including secondary billing, appeals process, and patient liability
    • Working knowledge of the insurance follow-up process
    • Proficient in comprehending and applying payer contract conditions and reimbursement methodology (per state)
    • Basic knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04 and 1500 claims forms
    • 1-2 years of patient accounts receivable and/or insurance claims processing experience
    • Ability to analyze and resolve problems and the ability to identify payer reimbursement discrepancies
    • Excellent computer and multitasking skills
    • Eligibility verification experience
    • Ability to update multiple systems while interacting with first and third parties
    • Excellent verbal skills with an emphasis on customer service
    • Medical Assistance eligibility experience along with Auto and Workers Compensation Claim submission
    • Ability to update and verify all consumer demographics on multiple systems
    • Ensure that all accounts are in a proper status for billing and reimbursement
    • Move with speed and accuracy touching multiple claims per day

    Qualifications

    • High school diploma or GED required.
    • Microsoft Office
    • Ability to manage multiple projects and priorities to meet client/department deadlines.
    • Flexible and ability to adapt to changing priorities.
    • Ability to work under pressure and effectively meet deadlines.
    • Work independently or with a team to resolve practical problems.
    • Exceptional analytical, organizational and time management skills are critical.
    • Professional communication skills.
    • Time management skills.

     

    Here’s what you can expect from us: 

    A fun and exciting environment where creativity, achievement, and mutual respect are recognized

    An engaged workforce where diversity is appreciated

    A focus on ease, simplicity and wellness with our online Live Health

    Competitive compensation package

    A place where we help our employees make their dreams come true

    We encourage an active lifestyle with an annual fitness membership reimbursement option

    Awesome company events for you and your family

    Employee driven charitable and community outreach

    Fun, team-focused work environment where appreciation and recognition are key

     

    If you are looking to thrive in a challenging, fast paced, growth oriented environment, consider joining our company as we are on the cutting edge of new growth creating a world class business services organization.

     

    Windham Professionals provides Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, gender identity, sexual orientation, status as a protected veteran, genetic information, individuals with a disability, and any other basis protected by federal, state or local laws. EEO/AA Disabled/Vet. #CB

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