Job Information
AMERICAN CYBERSYSTEMS INC. Claims Specialist in Wheat Ridge, Colorado
Position type: Contract Duration: 6 months Location: Must be located in Denver metro area* The first day of orientation is onsite and there may be some aspects of training that may need to be done in person until candidate gets up to speed.
As a(n) Claim Specialistyou will:
Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist position can utilize their previous medical billing experience to collaborate and communicate effectively with stakeholders while demonstrating problem-solving skills, bringing denied claims to resolution and working to submit necessary credentialing applications to enroll providers in Medicare, Medicaid and Commercial payer insurance.
Essential Functions Billing: Work closely with billing staff to review denied claims related to provider credentialing. Interacts with payers to determine true reason for denial and inquire on what corrections need to be made. Collaborates with internal and external stakeholders to e nsure necessary corrections are submitted timely and accurately. Ability to work and update multiple issues within a ticketing queue, providing regular status updates. Sees through the claims reprocessing to achieve the desired results. Credentialing: Completes credentialing and re-credentialing applications to add providers to Medicare, Medicaid and Commercial Payers. Completes revalidation requests issued by government payers. Maintains accurate and up to date provider profiles on CAQH, PECOS, NPPES, and CMS databases. Maintains internal documentation to ensure all information is accurate. Support Credentialing staff in completing quarterly attestations for payers. Qualifications: High School or GED required, Associates or Bachelor's preferred. 2+ years health care and medical billing/Revenue Cycle experience required. General knowledge of finance and accounting functions, policies, practices and terminology. Ability to research and problem solve, using analytical and critical thinking skills. Ability to handle multiple tasks simultaneously and work autonomously. Demonstrated history of resolving challenging issues. Strong interpersonal skills, including excellent written and verbal communication skills. Familiarity with Microsoft Office suite (Excel, Outlook, Word) and strong computer skills.
Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW. Thank you! Anil Sharma Sr. Associates 585-351-2268 anil.sharma1@innovasolutions.com
PAY RANGE AND BENEFITS: Pay Range*: $25 - $28/hr *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Bi lion. Through our global delivery centers ac ross North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Recent Recognitions:
One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022) ClearlyRated Client Diamond Award Winner (2020) One of the Largest Certified MBE Companies in the NMSDC Network (2022) Advanced Tier Services partner with AWS and Gold with MS
Website: https://www.innovasolutions.com/
Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, relig ion or belief, national origin,