Offer summary

Qualifications:

High School Education or GED required., Minimum of 1 year data entry experience., Intermediate skills in Microsoft Word, Excel, and Outlook are required., Experience with HCFA and UB92 forms is preferred..

Key responsabilities:

Reprice CMS1500 and UB04 forms for various PPO networks.

Use multiple computer applications to obtain necessary information for claims.

Key repriced claims into the QicLink system with high accuracy.

Communicate effectively with team members and departments to resolve issues.

Allied is a national healthcare solutions company that works with organizations who choose to take control of their healthcare. We customize employer self-insurance benefits to align with individual choice and organizational need while integrating medical management innovations and cost-control strategies. With healthcare designed for people, employers never have to choose between price and the best-fit insurance products to protect employees and their families. Allied’s philosophy is to create a culture of health for our member organizations and their employees beyond simple, medical health. We integrate administrative services, care solutions and analytics to achieve better clinical, behavioral and social patient outcomes. Allied’s programs and benefit services are designed and structured to infuse value on every front – for employers and HR departments, for plan members and their families, for healthcare providers, and for us. We’re in this together, committed to your future.

Job description

REPRICING COORDINATOR

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