Curative · 4 days ago

Data entry analyst

Austin, TX

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

Successfully Delivers the day-to-day operations of the Curative System Configuration Team activities.

Consistently ensure the tasks for System Configuration teams are performed and completed & communicated to the other team members.

Work closely with IT, Medical Services, Claims Team, System Support, to ensure efficiency.

Reviews of PENDED claims on a daily basis for various reasons to ensure claims are processed timely.

Works with the Claims Processing department to ensure day to day PENDS are being handled in a timely manner.

A team player and being able to perform tasks in a very fast paced environment.

Analyzes, tracks and trends provider, system setup and claim errors.

Works on claims team projects and reporting, assigned.

Assists with all groups for professional and facility claim processing.

Attend departmental training when required or requested.

Adheres to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures.

Performs other duties as assigned

Qualification

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Claims AdjudicationMS AccessGoogle SheetsExcelHealthEdge SystemICD-10 CodingCPT CodingHCPCS CodingMicrosoft OfficeWindowsTDI Regulations KnowledgeHIPAA Regulations KnowledgeEnrollment/Eligibility 834's KnowledgeClaims 837 Files KnowledgeCobra KnowledgeCOB Knowledge

Required

At least 3-5 years of experience in claims adjudication, including PPO and/or Medicaid, ERISA, Medicare, Level Funded and Self-Funded Experience with various claim payment systems in processing hospital, mental health, dental and routine medical claims within given deadlines.

Excellent Working Knowledge of MS Access, Google Sheets and Excel required

Knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.

Excellent computer and keyboarding skills, including familiarity with Windows

Excellent interpersonal & problem-solving skills.

Excellent verbal and written communication skills to communicate clearly and effectively with all levels of staff, members, and providers.

Ability to be focused and sit for extended periods of time at a computer workstation.

Ability to work in a team environment and manage competing priorities

Ability to calculate allowable amounts such as discounts, interest, and percentages

Ability to communicate with all levels of staff.

Advanced Knowledge of claim coding and editing rules Optum/CMS

Knowledge of TDI regulations and requirements for claims payments

Knowledge of HIPPA regulations