POSITION SUMMARY
The Repricing Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims using multiple applications to obtain discounted rates.
ESSENTIAL FUNCTIONS
- Repricing of CMS1500 and UB04 forms for various PPO networks.
- Ability to use several different computer applications to obtain the information needed to correctly re-price a claim.
- Ability to key claims once repriced into the QicLink system.
- Ability to communicate effectively with various Team members & departments to resolve issues.
- Must be able to re-price and key claims at 99% or greater accuracy.
EDUCATION
- High School Education or GED required.
EXPERIENCE AND SKILLS
- Minimum of 1 or more years data entry required.
- Intermediate level Microsoft Word, Excel, Outlook skills required.
- Microsoft Access experience is a preferred.
- Experience with HCFA and UB92’s preferred.
- Previous customer service experience is preferred.
POSITION COMPETENCIES
- Communication
- Customer Focus
- Accountability
- Functional/Technical Job Skills
PHYSICAL DEMANDS:
- This is an office environment requiring extended sitting and computer work.
WORK ENVIRONMENT
- Remote.
