Network Services Associate B

This is a fully remote position, open to applicants in Florida.

📋 Description

• Manage data entry tasks and analyze various data sets.

• Address incoming emails regarding provider bill status.

• Process reconsiderations, disputes, and state-related disputes.

• Respond to inquiries and disputes from providers, clients, and internal stakeholders via email.

• Collaborate with Finance, Provider Management, and external network partners to resolve provider-related disputes and questions.

• Work with clients to address pricing issues and state disputes within the required regulatory timeframes.

• Deliver outstanding customer service to both internal and external clients.

• Understand and adhere to HIPAA and SOC2 requirements when handling designated PHI.

• Accurately document and update information in cases and billing systems.

• Utilize critical thinking skills to resolve billing issues.

• Assist in training team members and new employees as necessary.

• Process reconsiderations in accordance with client-specific guidelines.

• Carry out additional responsibilities as assigned by management.

• Maintain consistent and dependable attendance during scheduled work hours.

⛳️ Requirements

• A college education is preferred.

• At least two years of experience in a clerical environment, ideally within healthcare.

• Experience in workers’ compensation or call center operations is preferred.

• Strong written and verbal communication skills are essential.

• Exceptional attention to detail is required.

• Proficiency in Microsoft Office and other computer application systems is necessary.

• Ability to articulate ideas clearly, concisely, and effectively in both verbal and written forms.

• Familiarity with CPT, ICD10, MS-DRG, LTC-DRG, CMG, PDPM, and HHRG billing coding systems.

• Understanding of UB and HCFA claim forms along with correct data field entries for standard billing documents.

• Knowledge of medical terminology and billing regulations is important.

• Capability to work independently is required.

• Experience in a medical office or insurance setting is advantageous.

• Bilingual proficiency in English and Spanish is a plus.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Opportunities for professional development and training.

• Supportive work environment with a focus on work-life balance.

• Paid time off and holidays.