Claims Negotiation Specialist
3 weeks ago
Austin Resolutions, a subsidiary of USA Managed Care Organization, is growing aggressively and we are seeking to expand our claims negotiation positions in our Austin Office. Successful candidate will be able to negotiate medical claims with all healthcare providers to obtain an agreed upon reimbursement rate.
This is a hybrid position and once fully trained, you will be able to work remotely two days per week.
Key Responsibilities
- Negotiate reimbursement rates for all medical claims.
- Analyze data to determine negotiation trends.
- Assist in the daily operations of Austin Resolutions.
- Develop and maintain provider relationships.
- Special projects as assigned.
- Adhere to USA Managed Care Organizations Information Security Policies and Procedures.
- Adhere to HIPAA Guidelines and Requirements.
Qualifications/Experience
- Extensive multi-tiered claims processing knowledge.
- Solid communication and negotiating skills with exceptional attention to detail.
- Knowledge of multiple insurance lines including Workers Compensation, Medicare Supplement Exhaust and Part B and Commercial Health Insurance.
- Knowledge of Hospital Finance and billing.
- Work well under pressure.
- Detail Oriented.
- Proficient in Microsoft office, Excel and Access Database.
- College Degree and a minimum of 2 years of related experience or equivalent work experience.
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