Repricing Specialist
Repricing Specialist We are seeking a Repricing Specialist for our established client in the Liverpool, NY area.
A Repricing Specialist will reprice multiple outside network claims, print claims from our system and either fax/email them to an external source, match claims in our system that have been incorrectly provider matched and add providers into provider database that are new to the system.
Responsibilities:
Reprices all the Health Plan New York State Inpatient Hospital claims Maintains and updates the DRG database Runs/reviews reports Reprices all type of claims for the various outside networks Validates and implements providers and the affiliated networks into our operation system Orders department supplies Consistently demonstrates high standards of integrity by supporting Lifetime Benefit Solutions mission and values and adhering to the Corporate Code of Conduct Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures Regular and reliable attendance is expected and required Performs other functions as assigned by management Minimum
Qualifications:
Associate's in Business Administration or equivalent combination of education and relevant experience Experience in claims processing preferred Knowledge of Microsoft Office required Ability to work independently and well with numbers Excellent organizational skills Attention to detail a must Coming into work and working all of the above every day until we are totally caught upExcel and Word experience required To apply for this position, please submit your resume to email removed today!CPS is an EOE.
Estimated Salary: $20 to $28 per hour based on qualifications.
A Repricing Specialist will reprice multiple outside network claims, print claims from our system and either fax/email them to an external source, match claims in our system that have been incorrectly provider matched and add providers into provider database that are new to the system.
Responsibilities:
Reprices all the Health Plan New York State Inpatient Hospital claims Maintains and updates the DRG database Runs/reviews reports Reprices all type of claims for the various outside networks Validates and implements providers and the affiliated networks into our operation system Orders department supplies Consistently demonstrates high standards of integrity by supporting Lifetime Benefit Solutions mission and values and adhering to the Corporate Code of Conduct Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures Regular and reliable attendance is expected and required Performs other functions as assigned by management Minimum
Qualifications:
Associate's in Business Administration or equivalent combination of education and relevant experience Experience in claims processing preferred Knowledge of Microsoft Office required Ability to work independently and well with numbers Excellent organizational skills Attention to detail a must Coming into work and working all of the above every day until we are totally caught upExcel and Word experience required To apply for this position, please submit your resume to email removed today!CPS is an EOE.
Estimated Salary: $20 to $28 per hour based on qualifications.
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