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 readily available 24/ 7 to offer 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 figure out the next proper action steps and acquire the required info to deal with any impressive rejections.
  • Correct and determine billing mistakes and resubmit claims to insurance coverage providers.
  • Update CAS sectors on secondary electronic claims as required.
  • Verifies client group details and insurance coverage eligibility consisting of coordination of advantages; updates and verifies as essential 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 info required to finish the billing procedure consisting of getting details from companies, secondary 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 guaranteeing repayment to the practice.

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

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HOPCo

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