Job Description

Job Description

Regional PPO network facilitates the billing, re-pricing and claims administration for approximately 900 chiropractic offices. The primary responsibilities will be to assist in this process as needed. This will require some telephone customer service interaction with provider offices and insurance carriers. It will require mastering company’s document imaging system, claims adjudication system and the websites of many insurance payers.

The ideal candidate will be able to understand insurance remittance advice, accurate entry the data into our system, help resolve outstanding insurance claims and assist management with a variety of tasks necessary to meet corporate goals and objectives.

The ideal candidate will possess the following skills and aptitudes:

• Punctuality,
• Strong analytical and problem-solving skills,
• Basic understanding of ICD-10 and CPT codes,
• Strong basic math skills,
• Organization skills with ability to handle and learn a variety of tasks,
• Strong data entry skills,
• Over the phone customer service skills,
• Microsoft Office skills, especially Excel and Word is a necessity,
• Strong written language skills,
• AS/400 experience is a plus, and
• Above all else, being a quick learner with a strong work ethic is a must.

Insurance billing experience is preferable, but not mandatory. We will train a candidate that is willing to work, capable of learning and presents with a strong work ethic. We do not require a lot of experience, although it is a plus. We will train a candidate that is willing to work , capable of learning and presents with a strong work ethic.

Once hired, you will need to do or assist with the following tasks:

• Data entry and mail processing,
• Provide customer service to network members,
• Research unresolved claims and assist in the distribution of claim payments to the appropriate provider,
• Assist in the recruiting of new providers,
• Assist in other areas as needed.

Company Description

Chiropractic PPO network which performs two primary functions, delegated credentialing for insurance companies and insurance billing. We are expanding throughout southeastern US.

Company Description

Chiropractic PPO network which performs two primary functions, delegated credentialing for insurance companies and insurance billing. We are expanding throughout southeastern US.