Grundy Workforce Job Board Services: Submission #4443

serial: '4443'
sid: '909681'
uuid: 3c6d546e-c8d7-4a4f-aa9a-9f2c770bff0f
uri: /grundy-workforce-job-board-services
created: '1757524441'
completed: '1757524441'
changed: '1757599178'
in_draft: '0'
current_page: ''
remote_addr: 216.125.168.2
uid: '0'
langcode: en
webform_id: grundy_workforce_job_board
entity_type: node
entity_id: '4061'
locked: '0'
sticky: '0'
notes: ''
metatag: meta
data:
  employment_type:
    - 'Full Time'
  work_shift:
    - 1st
  please_have_applicant:
    - online
  additional_information: ''
  address:
    address: '10719 160th St'
    address_2: ''
    city: 'Orland Park'
    country: ''
    postal_code: '60467'
    state_province: Illinois
  approved: '1'
  company_name: 'Midwest Orthopaedic Consultants '
  contact_email: ''
  contact_name: ''
  contact_title: ''
  fax: ''
  job_description: |-
    Review claims submissions for accuracy by confirming proper payer, authorizations, referrals and all other key billing components.
    Follow clams from submission to payment using EMR analytics, reports, payer portals and other resources as necessary
    Partner with third party billing company personnel to resolve billing issues and support the effort of submitting clean claims with any research in a timely and responsive manner
    Review payer EOBs for a complete understanding of payments and assignment to patient responsibility.
    Use your knowledge of health insurance claim processing, patient policies by payer and payer plan dynamics for commercial, governmental, worker's compensation, labor funds and others to assess accuracy of payments.
    Work diligently to resolve denied/rejected claims by researching and determining the causes of the unpaid claims and making every effort to resolve the denial/rejection in order to promptly resubmit to the payer.
    Respond to patient and/or insurer inquiries in a professional. timely efficient and knowledgeable fashion, ensuring HIPAA and MOC guidelines are followed. and /or refunds as necessary.
    Other job tasks as necessary

    Must be able to sit and work at a computer for extended periods of time
    Requires manual finger dexterity and vision corrected to normal range
    Must be able to lift 25 lbs
  job_location: '10719 160th St. Orland Park'
  job_requirements: |-
    Experience using EMR, EHR and other healthcare/billing related systems to include Allscripts, Mod Med, EPIC, Exscribe, Health Ipass etc., Experience with web portals such as Availity
    Proficiency using Microsoft Excel
    Thorough knowledge of medical insurance terminology and payer explanation of benefits and experience working withmedical benefit plans department of labor for workers comp claims
    Experience with patient assistance and government programs such as Medicare and Medicaid
    Proficient at multitasking and managing competing priorities effectively.
    Effective written and oral communication.
    Minimum HS diploma, college degree desired but not required
    Four years direct experience with core competencies
  job_title: 'Medical Claims Review Representative'
  lifting_requirements_25: 'Yes'
  lifting_requirements_50: 'No'
  list_job_until: '2025-10-27'
  number_of_positions: '1'
  over_18_required: 'Yes'
  phone: ''
  rate: '$19 - $24 an hour'
  terms_of_service: '1'
  web_address: 'https://orthoexperts.applicantpro.com/jobs/'