Medical Claims

5 days ago

Wilkes Barre, United States Berkshire Hathaway GUARD Insurance Company Full time
Overview

Medical Claims/Repricing Assistant

What makes GUARD, GUARD:

Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. We're looking for talented individuals to join our team and establish a rewarding career with us.

Our success is founded on our strong reputation, and we have received an A+ “Superior” grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you're looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.

Work with us, we offer:

  • Work life balance schedule- No Nights or Weekends
  • Generous vacation and sick time
  • Closed on all major holidays
  • Healthcare benefits begin on your first day of employment
  • 401K with company match and profit sharing
  • Every 5 years employees receive a generous monetary award to be used toward a vacation
  • Tuition reimbursement after six months of employment
  • Discover opportunities to advance your career
  • Be part of Berkshire Hathaway Inc., one of the world's most admired companies

Hiring and Working at GUARD:

  • Virtual interview and onsite interviews
  • Job related pre-employement assessments
  • Virtual employee onboarding and training
  • Hybrid work model (Splitting time between working remotely and in the office)

Responsibilities

Medical Claims/Repricing Assistant will be responsible for providing clerical support to the Repricing Department. The Assistant will be responsible for data entry of billing information, verification of ICD-10 and CPT-4 codes, and submission of reconsiderations.

  • Research, respond (by phone and email) and track inquiries in a timely manner that come into the Provider Relations mailbox
  • Conduct quality assurance on invoices
  • Provide customer service for our providers (Doctor Offices & Hospitals)
  • Answer inbound calls from external medical providers
  • Have the ability to work within turnaround time standards so claims team can meet prompt pay claim requirements per State Law
  • Perform other duties as assigned
  • Will learn workers compensation state rules and regulations and implement them in the Medical Bill Repricing process
  • Occasional overtime is offered

Training & Courses: The following will be provided by the company.

  • Classroom and hands on training. You will be cross trained in different work-flows for the ability to grow within the department
  • Must be willing to complete an Intro to Insurance course
  • California exam, Materials and Test
  • Medical coding course, offered, but not required

Apply today and then be sure to check your email, phone, and voicemail often for a message for us on the next step

Qualifications

All candidates should have experience in a medical billing office environment, have a thorough understanding of billing and coding procedures, solid understanding of medical terminology and have strong computer experience.

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