Tricare Discrepancy Analyst

hace 10 horas

Heredia, Costa Rica Auxis A tiempo completo

Job Summary:
You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.
This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.
As a Tri-Care Clerk, you will review customer accounts and identify discrepancies between the expected cost of service and payer payment.
You will have an important role in determining the patient's insurance status and extent of insurance benefits, ensuring an efficient billing process for medical providers.
**Responsibilities**:
Duties will be performed by each individual depending on the assignment of responsibilities:

- Ensure government discrepancy analysis and processes are performed efficiently and effectively including:

- Monitoring and resolution of unpaid claims and month-end governmental reports.
- Governmental discrepancy analysis and resolution.
- Batch report corrections.
- Medicare Bad Debt management.
- Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".
- Other duties as assigned.
Skills and Experience:

- English - Spanish Language (Oral and writing 85% or higher), (C1 or above).
- Must have a high school diploma or in progress to complete high school.
- At least 1 year of experience in Customer Service positions.
- This job adjusts to the Eastern Time Zone and follows a US holiday schedule.
- Strong customer service skills
- Attention to detail
- Comfortable multitasking in a high volume/high demand environment
- Good presentation and a polite, tactful, and friendly character

About Auxis:
Auxis prioritizes employee growth and development to help you advance your career.
Auxis' culture empowers you to be your best in the interest of a common team goal.
We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.
- Benefits_
- Health benefits including medical, vision, and dental.
- Transportation subsidy
- Asociacion Solidarista
- Training and development programs
- Employee recognition program
- Paid time off and family-paid leave
- Paid day off for your birthday

  • Healthcare Analyst

    hace 10 horas

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:The Healthcare Analyst is responsible for supporting all activities related to government logging and discrepancy analysis function which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root cause and resolution steps.**Responsibilities**:- Ensure government discrepancy analysis and processes are...

  • Sr.healthcare Analyst

    hace 7 días

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary: The Senior Healthcare Analyst is responsible for supporting all activities related to government logging and discrepancy analysis function which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root cause and resolution steps. **Responsibilities**: - Ensure government discrepancy analysis and...

  • Healthcare Analysts

    hace 6 horas

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:The Healthcare Analyst is responsible for supporting all activities related to government logging and discrepancy analysis function which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root cause and resolution steps.**Responsibilities**:- Ensure government discrepancy analysis and processes are...

  • Jr Insurance Verification Specialist

    hace 10 horas

    Heredia, Costa Rica Auxis A tiempo completo

    Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As a Tri-Care analyst, you will review customer accounts and...

  • Account Payable Junior Analyst

    hace 10 horas

    Heredia, Costa Rica British American Tobacco A tiempo completo

    **BAT is evolving at pace - truly like no other organisation.****To achieve the ambition, we have set for ourselves, we are looking for colleagues who are ready to live our ethos every day.Come be a part of this journey!****BAT COSTA RICA** **IS LOOKING FOR AN ACCOUNT PAYABLE JUNIOR ANALYST****SENIORITY LEVEL**:Junior**FUNCTION**: GBS...

  • Procure to Pay

    hace 2 días

    Heredia, Costa Rica British American Tobacco A tiempo completo

    **BAT is evolving at pace - truly like no other organization.** **To achieve the ambition, we have set for ourselves, we are looking for colleagues who are ready to live our ethos every day. Come be a part of this journey!** **BAT Costa Rica IS LOOKING for **A BILINGUAL -Procure To Pay (Entry Level) **SENIORITY...

  • Procure To Pay

    hace 6 horas

    Heredia, Costa Rica British American Tobacco A tiempo completo

    **BAT is evolving at pace - truly like no other organization.****To achieve the ambition, we have set for ourselves, we are looking for colleagues who are ready to live our ethos every day.Come be a part of this journey!****BAT Costa Rica IS LOOKING for **A BILINGUAL -Procure To Pay (Entry Level)**SENIORITY LEVEL**:Non-management**FUNCTION**:Finance**SALARY...

  • Channel Operations Sr. Analyst

    hace 11 horas

    Heredia, Costa Rica Baxter A tiempo completo

    **This is where you save and sustain lives**At Baxter, we are deeply connected by our mission.No matter your role at Baxter, your work makes a positive impact on people around the world.You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.Baxter's products and therapies are found in almost...