Client Services Associate I / Bill Review - Irvine
Posted on: February 16, 2019
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.
We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.
Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com.POSITION SUMMARY:
Corrects medical bill data errors, ensuring the timely and accurate reporting of Workers' Compensation medical bill data as mandated by state medical EDI reporting requirements.
MAIN DUTIES AND RESPONSIBILITIES (Essential Functions of the Position):
---Performs data error corrections, retrieving state reportable data from medical bill and/or web applications, ensuring accuracy of medical bill data according to state mandated medical EDI reporting requirements.
---Monitors error correction queues and applies state mandated due dates to ensure medical data is reported in timely manner.
---Responds timely to internal staff and management requests for clarification or information.
---Assists and cooperates with co-workers, supervisor and management with respect and courtesy.
---Manages confidential client, financial and employee information with discretion and good judgment in accordance with department and Company guidelines.
---Demonstrates a dependable work ethic. Performs all duties in accordance with established Company goals
These specifications are general guidelines based upon the minimum ordinarily considered essential to satisfactory performance in this position. Individual skills and abilities may result in some deviation from these guidelines. To perform effectively in this position, the incumbent is required to have:
--- Knowledge of standard medical billing forms (CMS-1500, CMS-1450/UB-04, NCPCP, ADA).
--- Competency to utilize Company software and proficiency in Microsoft software applications and a willingness to learn new systems as necessary.
--- Analytical and problem solving skills.
--- Attention to detail.
--- Effective oral and written communication skills.
--- Good organizational skills.
--- Demonstrated ability to work successfully in a team setting.
Typically, these requirements may be met by a combination of one or more years' experience in Worker's Compensation Bill Review with a minimum of six month's experience in medical EDI reporting.
WORK ENVIRONMENT/DEMANDS OF THE POSITION:
(Travel, Physical Demand, Mental Demand) Travel: None. Physical Demands: Light physical effort. For example, standing, bending, or stooping for extended periods, operating light office equipment, e.g., personal computer, copier, fax machine, etc., Manually handling medium weight materials and/or equipment 5 to 10 pounds).Mental Demands: Moderate to high degree of concentration due to volume,, complexity, and/or pressure of work.---All other duties as assigned
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form.
Keywords: Conduent, Irvine , Client Services Associate I / Bill Review - Irvine, Other , Irvine, California
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