Repricing Associate

GENERAL SUMMARY OF DUTIES:  The Repricing Associate will be responsible for data entry of billing information, verification of ICD-10 and CPT-4 codes and submission of reconsiderations. The Repricing Associate will report to the Workers’ Compensation Claims Manager.

This is a remote position and can be located anywhere in the United States.

DUTIES:    Duties are not limited to the below and will expand over time.

• Responsible for data entry of billing and Medicare reporting while verifying ICD-10 and CPT-4 codes
• Research, respond and track inquiries in a timely manner to ensure compliance with state laws
• Handle Electronic Data Interchange (EDI) claim rejections and apply manual repricing as needed
• Process and administer reconsiderations and appeals while working with vendors and provider networks
• Research issues with provider returned checks, research provider reimbursement inquires and process these requests
• Participate in PPO Network and vendor quarterly oversight calls/meetings
• Cross train on all provider network tasks within the department
• Perform other duties as assigned

PERFORMANCE REQUIREMENTS:

Knowledge, Skills & Abilities:

• A thorough understanding of billing and coding procedures and a solid understanding of medical terminology
• Ability to work within turnaround time standards and state law requirements and implement them in the Medical Bill Repricing process
• Must be able to prepare comprehensive reports with little guidance
• Candidates must have the ability to work remotely and have strong computer experience
• High Level of Proficiency: excellent verbal/written communication, attention to detail and multi-tasking
• Approaches change as an opportunity for growth and development
• Ability to navigate multiple systems and screens simultaneously.
• Ability to work both independently and collaboratively within a virtual office environment
• Must have reliable internet
• Self-motivated and flexible
• Strong customer service skills
• Ability to independently manage workload, including prioritizing, and managing assignments to meet deadlines
• Proficiency with MS Word, Excel, Outlook, Teams, Slack, Zoom and internet applications

EDUCATION:

• College degree or college level education preferred

EXPERIENCE:

• Candidates must have experience in a medical billing environment
• Familiar with Medicare/CMS requirements
• Coding Accreditations are a bonus

About biBerk

biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBERK.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBERK are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.
 

Some highlights of our benefits are:

• Great work environment with growth opportunity
• Competitive compensation
• Generous amounts of vacation and sick time
• Closed on major holidays
• 401(k) with company match
• A fantastic healthcare package
• Tuition reimbursement after 6 months of employment
   

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided.  The starting salary range for this position is $50,000 to $61,000 per year.  Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.