About Us:
Our culture is based on connection, and that fuels our outstanding performance. At BroadPath we maintain and nourish a commitment to home-based talent and innovative workforce technology that enables us to deliver unrivaled quality, flexibility, and transparency. We believe in meeting our associates where they are, be it in geography or career development. Our proprietary platform visually connects the members of each home-based client team, fully unleashing the skills and motivation of the industry’s best workforce; and enabling our associates to reach their full potential. Today, we provide organizations in healthcare, financial services, travel and hospitality, and high-growth industries with managed, remote teams of skilled professionals to handle key business functions including customer experience, sales, and back-office operations. BroadPath, where connection happens.
Overview:
Claims Processors will be responsible for examining and evaluating accounts for appropriate follow-up action, and to resolve outstanding account balances through communication with payers, physician offices, and patients as necessary.
Responsibilities:
- Review denied or incorrectly paid claims to determine eligibility for appeal, utilizing reference tools such as CPT, ICD-9, HCPC manuals, Correct Coding Initiative Edits, Medicare Fee Schedule, and modifier rules.
-
Work on electronic claim edits to ensure all required information is accurately and completely submitted to payers.
-
Post insurance and patient payments using correct denial codes for proper account management.
-
Communicate with physician offices to gather additional information required to resolve edits or appeal denied claims.
-
Handle and resolve insurance and patient correspondence.
-
Manage self-pay accounts and evaluate the validity of refund requests.
-
Participate in the mailing of patient statements.
-
Monitor IDX billing system setup to ensure compliance with all relevant payer billing requirements.
-
Complete work assignments accurately and promptly.
-
Attend departmental and other required meetings.
Qualifications:
-
Previous experience processing appeals and disputes.
-
Proficiency with IDX system.
-
Knowledge of ICD-10 codes.
-
Excellent technical abilities and familiarity with daily computer operations.
-
Prior experience with health insurance claims on the payer or provider side.
-
Knowledge of medical and insurance billing.
-
Strong communication and customer service skills.
-
Ability to determine the reasons for unpaid claims or patient accounts and communicate effectively to resolve them.
-
Understanding of payer and government rules and regulations in the revenue cycle process.
-
Ability to communicate effectively with physicians, practice staff, and patients to gather necessary information and resolve issues.
Diversity Statement:
At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.