Medical Claims Analyst
Company: 6 Degrees Health Dx
Location: Portland
Posted on: February 24, 2021
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Job Description:
Company Overview6 Degrees Health is bringing equity and fairness
back to healthcare reimbursement by utilizing data and technology,
including our own software platforms. Our team of industry experts
work with health plans to make the most of their healthcare
dollars, which allows them to pass along the savings back to their
members. With positive change comes growth, so we are currently
seeking Patient Support Specialists to join our fun, fast-paced
office in the Hillsboro area.Job SummaryDue to the anticipated
growth, 6 Degrees Health is looking for the right candidate to join
our team as a Medical Claims Analyst at our Hillsboro, OR location.
This position acts as an intermediary between 6 Degrees Health and
the claims teams at both providers and our clients. The ideal
candidate will be detail oriented, organized and provide
world-class customer service.Responsibilities And Duties* Support a
culture that is consistent with 6 Degrees Health values and
beliefs.* Analyze medical claims to ensure proper coding* Reprice
claims according to contracted hospital payment schedules* Reprice
claims to Medicare reimbursement, both manually and software-aided*
Monitor incoming and outgoing electronic claims via our internal
processing system* Provide detailed reporting on claims volume,
billed charges, savings, etc.* Work with hospitals and customers to
resolve claim issues with superior customer service* Clearly
document claims process and issue resolution* Work collaboratively
with the Claims Team to identify process gaps and improve
procedures* Maintain up to date healthcare industry policies and
regulations* Other responsibilities or projects as
assignedQualifications And SkillsEducation:* High School Diploma or
equivalent* AHIMA or AAPC certification preferred, but not
mandatoryExperience:* 2 years of medical billing or coding
experience required* Knowledge of Medicare coding and reimbursement
regulations preferred* 2 years customer service experience
requiredSpecial Skills:* Excellent project and time management
skills.* Proven organizational and prioritization skills with an
ability to operate in ambiguous situations* Demonstrates ability to
quickly learn adapt new ideas and processes* Ability to maintain
accuracy and efficiency standards consistently* Ability to
effectively adapt in a dynamic environmentMental:* Must have the
ability to read and understand various procedural documentation.*
Ability to interpret patient records and calculations while
maintaining a strong attention to detail.* Strong internal and
external communication skills, both verbal and written.* Must be
able to manage inbound calls with confidence and
compassion.Physical:* Must have the ability to lift over 20 lbs
during a scheduled work shift.* Must be willing and able to work a
5-day schedule and additional hours beyond regularly scheduled
shift to cover vacancies, if necessary.* Must be able to sit or
stand for two hours at a time.Equipment Used:* Must be able to
operate computers and phones to support position requirements.*
Strong Microsoft Office Skills a must, Apple product proficiency
preferred.Benefits And Perks* Competitive Compensation* Medical,
Dental, Vision and Other Outstanding Ancillary Benefits* Training
and Development Opportunities* Paid Holidays* Unlimited Paid Time
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Keywords: 6 Degrees Health Dx, Portland , Medical Claims Analyst, Professions , Portland, Oregon
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