Data Discrepancy Resolution Specialist

hace 3 días


San Francisco, Heredia, Costa Rica Grupo Stt A tiempo completo
Responsibilities

Our ideal candidate will perform and validate discrepancy reason coding of underpayment inventory. They will pursue additional payment from payers on underpayment discrepancies through various means of communication, such as telephonically, online or via payment package processes.

To succeed in this role, you must be able to overcome objections that prevent payment of the claim. You will gain commitment for payment through concise and factual collection techniques. Additionally, you will communicate trends to management as identified.

You will facilitate correction of non-payment related underpayment discrepancies through I-plan changes or coordination with other departments as needed. Identify and communicate trends to management, including those that might be appropriate for the dispute resolution process. Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response.

You will utilize effective documentation standards that support a strong historical record of actions taken on the account. Meet the productivity and quality standards of the organization. Complete and comprehend all educational requirements. Adheres to and supports organizational IT&S standards, policies, and procedures. Adheres to Code of Conduct.



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