HOPCo

HOPCo

  • Phoenix, AZ
  • Permanent
  • Full-time
Description:

At HOPCo, we are committed to looking after you so you can function! Our robust advantages plan consists of the following:

  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to utilize towards supplementary advantages
  • HSA with certifying HDHP strategies with business match
  • 401 k strategy after 6 months of service with business match (Part-time workers consisted of)
  • Employee Assistance Program that is offered 24/ 7 to supply assistance
  • Employee Appreciation Days
  • Employee Wellness Events

QUALIFICATIONS

  • High school diploma/GED or comparable working understanding chosen.
  • Minimum of 2 to 3 years of experience in medical billing.
  • Prior experience dealing with claim mistakes in a claims management system chosen.
  • Must have strong understanding of resolution to payor modify reports, and reconciliation of clearinghouse and payor approval reports.
  • Candidates with understanding of ANSI format chosen.

ESSENTIAL FUNCTIONS

  • Responsible for working claim mistakes in claims management system guaranteeing tidy claims are sent prompt to insurance coverage providers.
  • Review and prepare claims for handbook and/or electronic billing submission.
  • Reviews insurance coverage rejections to identify the next proper action steps and acquire the essential info to solve any exceptional rejections.
  • Correct and determine billing mistakes and resubmit claims to insurance coverage providers.
  • Update CAS sections on secondary electronic claims as required.
  • Verifies client group details and insurance coverage eligibility consisting of coordination of advantages; updates and verifies as required to permit processing of claims to insurance coverage strategies.
  • Verifies invoice of claim with insurance coverage strategies, figuring out the next proper action step.
  • Researches all details required to finish the billing procedure consisting of getting details from suppliers, supplementary services personnel, and clients.

The Billing Specialist is accountable for the assistance of client billing and collection activities, following client accounts through the billing procedure to the payor, dealing with the payor through claims processing, and making sure compensation to the practice.

Healthcare Outcomes Performance Company is a vertically incorporated musculoskeletal results management business. HOPCo handles doctor practices, medical facility service lines, population health and value-based care programs, and musculoskeletal shipment networks.

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HOPCo

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