Pre-Bill Denial Claims Specialist

hace 3 semanas


San Francisco, Heredia, Costa Rica Auxis A tiempo completo
About Auxis

Auxis is a dynamic and innovative organization seeking a highly skilled Pre-Bill Denial Claims Specialist to join our team.

Job Summary

We are looking for a detail-oriented and results-driven professional to work on pre-bill accounts, resolving discrepancies and communicating with third-party payors. The ideal candidate will have excellent communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment.

Responsibilities:
  1. Efficiently work prebill accounts imported into the PDU Tool to resolve accounts with no auth numbers and ALOS vs. authorized days variances.
  2. Resolve assigned accounts in eRequest to address outstanding issues.
  3. Identify and report insurance denial trends during daily operational assignments.
  4. Educate self and others as needed.
  5. Maintain relationships with all customers.
Required Skills and Qualifications
  • English - Spanish Language (Oral and writing 85% or higher).
  • High school diploma or equivalent required, with at least one year of experience in customer service positions.
  • Knowledge of medical insurance process a plus.
  • Ability to perform and track multiple tasks accurately in short timeframes.
Benefits

Auxis offers a competitive salary range of $60,000 - $80,000 per year, depending on experience. Our comprehensive benefits package includes health insurance, retirement plan, paid time off, and opportunities for career growth and development.



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