Billing Operations Associate

Job not on LinkedIn

🔥 1 hour ago

🤠 Texas – Remote

info

💵 $14 - $18 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

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Logo of Dayforce

Dayforce

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform developed by Ceridian. It provides integrated HR, payroll, time and attendance, workforce management, benefits, and talent management capabilities in a single SaaS application aimed at employers and HR teams. Dayforce is used by organizations to streamline payroll and workforce processes, improve compliance, and manage the employee lifecycle.

📋 Description

• Ensure accurate, compliant, timely billing and appropriate reimbursement for all professional vision or medical exams and vision material services. • Prepare and submit clean claims to various insurance companies either electronically or by paper. • Analyze and correct first pass rejected claims for completeness and accuracy of information for second pass clean claim submission. • Research and perform all primary and secondary billing claim status follow up activities for assigned insurance plans. • Review, evaluate and process all claim appeals through resubmission to insurance carriers with complete and accurate supporting documentation required. • Research and recommend any third party customer account adjustments and/or write-offs to Manager based upon collectability of account. • Support and assist store associates with ensuring all proper customer demographic and authorizations are present for clean claim submittal to insurance carriers. • Recognize and report claims problems, errors, and discrepancies to management.

🎯 Requirements

• High School Diploma, GED, or equivalent work experience • Zero to one (1) years of experience in medical insurance claims billing preferred • Proficient in MS Excel and Word. • 10-Key by touch. • Well-developed verbal, listening and phone communication skills • Good written communication skills with the ability to write routine correspondence • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. • Ability to define problems, collect data, establish facts, and identify trends. • Ability to exercise good judgment and escalate issues appropriately.

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