Repricing Coordinator
Allied Benefit Systems, LLC, United States
Job Description
Job Title: Repricing Coordinator
Department: Repricing/PM DepartmentFLSA Status: Non-exempt Job Status: FT
Reports To: Manager of EDI/Repricing Positions Supervised: N/A Job Class: 3
Work Schedule: Flexible full-time hours Monday Friday on-site
Assessments: Predictive Index Behavioral and Cognitive assessments
Position Summary
The Repricing Coordinator is responsible for re-pricing medical (CMS1500, UB04) and dental claims through the use of 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 Rims system
- Ability to communicate effectively with various departments to resolve issues
- Must be able to re-price and key claims at a minimum of 99% accuracy
Position Qualifications
Communication Communicates effectively both internally and externally, where applicable. Includes both written and verbal communication.
Dependability Meets deadlines, works independently, accountable, maintains focus, punctual, and maintains good attendance record.
Initiative Takes action independently, seeks new opportunities, and strives to see projects to completion.
Interpersonal Skills Builds strong relationships, is flexible/adaptable, works well with others, and solicits feedback.
Job Knowledge Understands the facets of job, aware of duties and responsibilities, and keeps job knowledge current.
Organization Skills Information organized and accessible maintains efficient work space, and manages time well.
Problem Solving Strives to understand contributing factors, works to resolve complex situations.
Productivity Manages workload, works efficiently, and meets goals and objectives.
Quality Strives to eliminate errors, accurate work is a priority, seeks opportunities to improve product/services
Self-Development Looks for opportunities to increase knowledge, works to increase responsibility, strives to achieve personal goals and/or maintains licenses and other pertinent requirements.
Teamwork Accountable to team, works to meet established deliverables, appreciates view of team members, and respectful.
Technical Skills Maintains current understanding of technical process/equipment, uses technology to increase performance/productivity; effectively uses online tools and resources.
Education: High School Education or GED required. Some college preferred
Experience: Experience with HCFA and UB92’s a plus but not a requirement.
Skills amp; Abilities: Microsoft Word, Excel, Access, databases software programs
Other Requirements
- Fast accurate keying of both alpha and numeric information.
- Able to sit using a computer for long periods of time.
- Ability to key a minimum of 10,000 keystrokes per hour.
Work Environment: Clean professional in-office environment located high rise building in downtown Chicago