Provider Relations Specialist
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Job Summary
Assisting in provider relations and service interactions, the full-time Provider Relations Specialist will work remotely to analyze medical bills, communicate with providers regarding billing processes, and ensure quality assurance in bill review operations.
Key responsibilities
- Analyze medical bills based on various regulations and guidelines while communicating processing methodologies to providers
- Respond to provider inquiries via calls, emails, and voicemails within 48 hours and monitor the bill review process from receipt to payment
- Collaborate with the Bill Review team on quality assurance issues and participate in ongoing training to enhance job skills
Required qualifications
- High School Diploma required
- 2+ years of experience in complex Workers' Compensation Bill Review with customer service exposure
- Knowledge of medical terminology, CPT codes, and DRG
- Experience with MS Word, MS Excel, and email communication
- CPC (Certified Professional Coding) coursework or certification is a plus
Complete Job Description
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