Description
BB27536
Pasadena, CA 91103
6months +
Claims Consultant
Need someone with Healthcare Claims knowledge from the PROVIDER not PAYOR perspective, Billing operational experience with 277 claims status (acknowledgements & rejects). Skills should include proficiency in excel (pivot tables).
1. Top 3-5 required skill sets
a. Healthcare Operations experience from Provider perspective - experience in Billing operational processes - 5+ years
b. Analytic and Conception skills, Detail-Oriented
c. Project Management- preferred but not mandatory
d. Experience with software - Microsoft Excel, ability to create pivot tables
e. Ability to Multi-task, Resourcefulness
2. Top 3-5 daily responsibilities
a. Tracking, follow up and updating identified issues
b. Working with Clearinghouses/Payors on 277 rejects
c. Document workflows and processes for 277 claim status
d. Develop monthly/weekly status reports
e. Share findings with Operational Leadership
3. Type of background you want them to come from
a. Healthcare Claims background from Provider perspective. Billing, some project management experience, pre.
4. What size is the team?
a. The business team is a staff of 5. Will interact primarily with management team of 5.
5. What phase is the project in?
a. The project is in the final design requirement phase.