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Medical Billers – Allowables Representative in Montrose,OH - Copley,OH - Fairlawn,OH at TeamHealth

Date Posted: 8/2/2018

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Allowables Representative is responsible for identifying, researching and resolution of invoices that have allowable variance.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Auditing of paid Medical Claims
  • Review and appeal of HMO and PPO payments
  • EOB review
  • Phone calls to Medical Insurances to dispute payments
  • On-line research with Medical Insurances to review products/appeal
  • Reporting and monitoring of appeals and their status
  • Payment Posting
  • Reviewing and researching Medical Insurance contracts
  • Working knowledge of Excel

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Minimum high school diploma, or equivalent. Additional training in medical billing preferred.
  • One year medical billing experience.