Accounting\Auditing Jobs
By being hired into one of our Accounting\Auditing jobs at Rotech Healthcare Inc., you’ll be a key member of the Rotech Healthcare Inc. family. In this field, our employees come from a variety of backgrounds, bringing an assortment of knowledge and skills to every area of our business. Please click on your desired Accounting\Auditing job below to learn more about the exact qualifications. A job in Accounting\Auditing at Rotech Healthcare Inc. may be waiting for you!
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Claims Analyst Electronic Claims resolution
Job Description : Join the Leader in the Home Healthcare Industry!
Let us be Your Road to Success Rotech Healthcare Inc. is seeking a
Claims Analyst to join the Rotech billing team. In this position you will be responsible for analyzing, researching and instructing all Billing Centers appropriate resolution of electronic claim edits ensuring submission of electronic claims to payers and ensuring electronic remittance advices are routed to the appropriate Billing Center by analyzing and modifying routing logic with clearing house vendor.
Job Responsibilities:- Collaborates with Rotech’s clearing house vendor to determine the validity of claim edits and determine if system programming is needed to resolve the edit
- Researches and trouble shoots application errors, transmission errors and/or payer clearing house errors and identifies possible resolution by reviewing claim edits by analyzing 835 files, payer companion guides, clearing house edit rules and payer claim submission guidelines and IMBS data to identify needed elements for complete transmission of claims
- Conduct conference calls, leading in troubleshooting a problem resolution on individual and global level
- Instructs Billing Centers on appropriate process for resolution of claim edits
- Maintains and distributes Claim Edit Resolution Guide for training and education
- Performs maintenance to various claims master tables ensuring accurate data exists for claims logic
- Researches contract set-up, item master and any other potential claim process change to proactively solve problems, provide timely resolution and ensure minimal financial impact to Rotech’s claims. Identifies the most appropriate course of action for problem resolution and effectively communicates plans to those impacted
- Resolves identified claims issues in a timely fashion to mitigate financial risk in Rotech’s claims processing cycle
- Identifies payers that can transmit electronically and works with payers, Billing Centers and clearing house vendor to maximize electronic claims submission
Job Requirements :
- Minimum of one year directly-related experience in the medical billing industry
- Two year degree, or equivalent combination of college education and/or related work experience in healthcare, billing, and/or industry contracts
Rotech offers:
- Competitive Compensation
- Career Path and Management opportunities
- Health and wellness benefits to include medical, prescription, dental and vision plans, short term and long term disability, supplemental life insurance and flexible spending accounts
- Employee Assistance program
- PTO and paid holidays
- 401K
- Employee Discounts
- Employee Referral program
- Employee Recognition program
Make the right move, apply today!
EOE/AA/MFDV
Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.
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