Discrepancy Resolution Specialist

hace 4 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo
Job Title: Discrepancy Resolution Specialist

We are seeking a skilled Discrepancy Resolution Specialist to join our team at Auxis, a fast-growing business process outsourcing provider.

Job Summary:

This is an exciting opportunity to work with one of our largest accounts and leading providers of healthcare services. You will be responsible for researching and resolving underpayments, ensuring timely and accurate payments from payers.

Key Responsibilities:
  • Perform and validate discrepancy reason coding of underpayment inventory
  • Pursue additional payment from payers through various means of communication
  • Overcome objections that prevent payment of the claim
  • Gain commitment for payment through concise and factual collection techniques
  • Communicate trends to management as identified
  • Facilitate correction of non-payment related underpayment discrepancies
  • Escalate accounts to appropriate individuals at the payer and via SSC management as needed
  • Utilize effective documentation standards to support a strong historical record of actions taken on the account
Requirements:
  • Communication Skills: Communicate clearly and concisely, verbally and in writing
  • Customer Orientation: Establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal Skills: Work effectively with other employees, patients, and external parties
  • Basic Skills: Demonstrate ability to organize, perform, and track multiple tasks accurately in short timeframes
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
Estimated Salary:

$55,000 - $65,000 per year, depending on experience



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