Description
We are Currently Seeking a Medical Claims Recovery Specialist to work with a Healthcare insurance client located in Northwest Houston, TX 77092!
Pay: $24 hr depending on experience
Schedule: Mon-Fri 8am-5pm
Requirements:
- Healthcare Billing Knowledge:
- Thorough understanding of medical billing codes (CPT, ICD-10, HCPCS) and payer reimbursement guidelines.
- Analytical Skills:
- Ability to analyze complex medical records and billing data to identify overpayments.
- Problem-Solving:
- Strong problem-solving skills to address complex claim issues and find solutions.
- Communication Skills:
- Excellent written and verbal communication skills to interact with providers, payers, and internal stakeholders.
- Technical Proficiency:
- Familiarity with healthcare claims processing systems and data analysis tools.
- AAPC CPC certification or AHIMA CCS certification
???????
Job description :
- Claim Review and Analysis:
- Scrutinizing submitted healthcare claims for potential overpayments by comparing billing codes, medical records, and payer contracts.
- Identifying errors such as incorrect coding, duplicate billing, or non-covered services.
- Analyzing claim data using specialized software to identify patterns and trends of overpayments.
- Overpayment Recovery:
- Contacting providers and payers to discuss identified overpayments and initiate recovery process.
- Preparing and submitting claim adjustments or appeals to recover funds.
- Negotiating settlements with providers and payers to resolve overpayment disputes.
- Compliance and Documentation:
- Adhering to HIPAA regulations and other healthcare compliance standards when handling patient data.
- Maintaining detailed records of claim reviews, recovery efforts, and communication with providers and payers.
- Tracking recovery metrics and reporting progress to management.
- Communication and Collaboration:
- Collaborating with internal teams like billing, coding, and patient accounts to identify potential overpayment issues.
Recruiter: Shavon Smith- Houston, TX North Branch
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Trust the office staffing pioneer.
Finding the right job isn't always easy. Kelly® Professional & Industrial takes the guesswork out of your job search by connecting you with great opportunities that work for you. That means your schedule, your interests, and your career plan. In fact, our company created the staffing industry with the goal of connecting people with great office jobs—so you could say we're pretty good at it!About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Apply on company website
Find Connections via Linkedin
