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Business Office Employer Group Analyst- Support Services Building
Prevea Health
Prevea Health
 
To Apply, please click on the button below and put 22-439 in the "What" box then select "Search For Jobs"


Job Location: De Pere, WI
Job Type: Full-time

Title
Business Office Employer Group Analyst- Support Services Building

Description

Job Description and Essential Functions

Job Title/Position: Business Office Employer Group Analyst

Job Classification: Administrative/Professional Support

Date of Analysis: 06/06/2022 Date of Revision/Review: 06/06/2022

__________________________________________________________________________________________

Brief Description of Job Responsibilities:

  1. Work with insurance companies, brokers, employer groups, and the Health and Wellness team to meet program billing requirements.
  2. Review charges in the Charge Entry Work Queues for accuracy and in a timely manner
  3. Assist with the design and improvement of workflows associated with the billing of the Health and Wellness product line.
  4. Review denials and other billing issues as a response from the Insurance Companies
  5. Act as a liaison between the Business Office, Front End Revenue Cycle, and the Health and Wellness Business Sales Team
  6. Escalate workflow breakdowns and potential Epic build issues to the appropriate parties
  7. Monitor claims for accuracy based on program guidelines
  8. Create and maintain training documentation for Work queue charge reviews.

Specialized Responsibilities:

Performance Requirements:

  1. Ability to work independently while performing responsibilities efficiently and accurately.
  2. Strong investigative skills.
  3. Strong analytical and multifaceted thinking skills
  4. Computer experience and 10 key proficiency.
  5. Excellent organizational skills.
  6. Excellent communications skills with internal and external customers.
  7. Knowledge of CPT/ICD-10 and ANSI codes.
  8. Word processing and computer experience with Excel, Word and Windows based applications.
  9. Detail oriented.
  10. Knowledge of insurance billing requirements.
  11. Medical terminology.
  12. Respect confidentiality of all patients.

Education/Experience/Certifications:

  1. Two years experience with financial analytics or five years medical billing.

Non-Essential Duties: Other duties as assigned within scope of practice

Typical Working Conditions:

Normal office environment with sitting for long periods of time. May be required to stoop, bend, and stretch for filing purposes. Requires manual dexterity functionality for the use of a computer, telephone, fax, or copy machine. Often in contact with insurance companies.

Typical Physical Demands:

Requires sitting for long periods of time. Working in office environment. Some bending and stretching required. Working under stressful conditions and able to problem solve. Use of telephone, copier and fax machine required. Manual dexterity required for use of calculator, and computer keyboard. Ability to lift up to 30 pounds. Requires corrected vision to 20/30 and hearing to normal range.

Essential Functions/Physical Demands

Job Title/Position: Claims Specialist

Job Classification: Administrative/Professional Support

Frequency of activity required to perform the job

Never

(0% of work day)

Seldom

(1-10% of work day)

Occasional

(11-33% of work day)

Frequent

(34-66% of work day)

As Required

( Greater than 67% of work day)


Physical Requirements


Sit

x


Stand

x


Walk

x


Drive

x


Climb (Stairs/Ladders)

x


Bend (Neck)

x


Bend (Waist)

x


Squat

x


Kneel/Crawl

x


Twist/Turn (Neck)

x


Twist/Turn (Waist)

x


Lift/Carry 0-10 lbs.

x


Lift/Carry 11-25 lbs.

x


Lift/Carry 26-35 lbs.

x


Lift/Carry 36-50 lbs.

x


Lift/Carry 51-75 lbs.

x


Lift/Carry 76-100 lbs.

x


Lift/Carry > 100 lbs.

x


Push/Pull up to 10 lbs.

x


Push/Pull 11-25 lbs.

x


Push/Pull 26-35 lbs.

x


Push/Pull 36-50 lbs.

x


Push/Pull 51-75 lbs.

x


Push/Pull 76-100 lbs.

x


Push/Pull > 100 lbs.

x


Reach (Above shoulder level)

x


Reach (Below shoulder level)

x


Simple Grasping (Hands/Arms)

x


Fine Manipulation (Hands/Arms)

x


Gross Manipulation (Hands/Arms)

x


Vision Requirements


Color Discrimination

x


Near Vision (Correctable to Jaeger 2 or 20/30 binocular)

x


Distance Vision (Correctable to Snellen chart 20/30 binocular)

x


Hearing Requirements


Hears Whispers < 3 feet

x


Hears Whispers 3-8 feet

x





Location
Support Service Building-001

Position
Financial Analyst-FINANA

Requirements


Position Located In
DePere,WI










How to Apply:
We have over 1200 reasons for you to consider a career with Prevea Health--they're our employees. We're an organization that values teamwork and provides continuous education, training and support so every member of the team contributes to our success. We offer a competitive salary and benefits package in an environment geared to professional and personal growth. No matter what your background or professional interests are, we think you'll like what we have to offer. Together we are the best place to get care and the best place to give care.

To Apply, please click on the button below and put 22-439 in the "What" box then select "Search For Jobs"



Prevea Health

Prevea Health is an Equal Employment Opportunity/Affirmative Action employer.
 
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