Repricing Associate – Temporary

Job not on LinkedIn

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $24 - $29 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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biBerk Business Insurance

WebsiteLinkedInAll Job Openings

51 - 200 employees

🛡️ Insurance

🤝 B2B

💸 Finance

Insurance • B2B • Finance

biBerk Business Insurance is a digital-first insurance provider focused on small business insurance, offering policies such as workers' compensation, professional liability (E&O), general liability, business owners policies (BOP), commercial auto, umbrella, and cyber coverage. Part of the Berkshire Hathaway Insurance Group and backed by A++ rated carriers, biBerk lets small businesses get online quotes, purchase policies, manage claims and documents, and access resources to simplify insurance. The company serves a wide range of small business industries (e. g. , restaurants, retail, contractors, IT, healthcare) and emphasizes instant coverage, cost savings, and direct-to-business underwriting.

📋 Description

• Perform data entry of billing information and Medicare reporting while verifying ICD-10 and CPT-4 codes • Research, respond to, and track inquiries to ensure compliance with state laws • Handle Electronic Data Interchange (EDI) claim rejections and apply manual repricing as needed • Process and administer reconsiderations and appeals while working with vendors and provider networks • Research provider returned-check issues and provider reimbursement inquiries, and process related requests • Participate in PPO Network and vendor quarterly oversight calls/meetings • Cross-train on all provider network tasks within the department • Perform other duties as assigned • Report to the Workers’ Compensation Claims Manager

🎯 Requirements

• A thorough understanding of billing and coding procedures and a solid understanding of medical terminology • Ability to work within turnaround time standards and state law requirements and implement them in the Medical Bill Repricing process • Must be able to prepare comprehensive reports with little guidance • Ability to work remotely and strong computer experience • Excellent verbal/written communication, attention to detail and multi-tasking • Ability to navigate multiple systems and screens simultaneously • Ability to work independently and collaboratively within a virtual office environment • Reliable internet • Self-motivated and flexible • Strong customer service skills • Ability to independently manage workload, prioritize, and manage assignments to meet deadlines • Proficiency with MS Word, Excel, Outlook, Teams, Slack, Zoom and internet applications • Experience in a medical billing environment • Familiarity with Medicare/CMS requirements • College degree or college-level education preferred • Coding accreditations are a bonus