Offer summary

Qualifications:

2+ years of experience in healthcare with a focus on negotiations and bill review., Knowledge of medical provider billing, coding, and insurance explanations of benefits (EOBs)., Strong negotiation, analytical, and problem-solving skills., Proficient in Microsoft Office with excellent written and verbal communication skills..

Key responsabilities:

Negotiate reductions on unpaid medical bills to maximize client cost savings.

Manage daily inventory of medical bills and prioritize based on various criteria.

Serve as a liaison between client service and managed care teams to address out-of-network issues.

Organize negotiation outcomes for management reports and collaborate on departmental projects.

Job description

Job Title: Medical Bill Negotiation Specialist

Location: 100% remote- Anywhere in US

*Negotiation experience with Medical Bills required*

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

Position Summary:

The Medical Bill Negotiation Specialist is responsible for negotiating a reduction in the amount due on medical bills to maximize cost savings for our clients and meet or exceed the program goals for success rate, turnaround time and reduction percentage.

Duties and Responsibilities:

Manage the daily inventory of unpaid medical bills that have not been reduced by PPO contracts
Navigate all systems effectively for negotiation review and completion
Review and prioritize bills based on processing criteria, turnaround times, client requests and service level standards
Negotiate additional discounts on catastrophic bills with PPO reduction
Establish and enhance negotiation strategies leveraging past experience, proprietary data and other data sources
Identify additional data sources to assist with developing solid negotiation strategies
Obtain signed Letters of Acceptance reflecting successful outcomes
Follow up with providers to resolve open negotiations
Handle appeals, questions from providers, clients or internal staff regarding negotiated bills
Serve as liaison between client service and managed care teams to identify out of network leakage and provide in network alternatives
Identify provider information for possible recruitment in the PPO
Organize negotiation outcomes for management reports and reporting to clients
Collaborate with staff to complete departmental projects as requested
Performs other duties as assigned

Experience:

2 plus years of experience in healthcare with strong emphasis in negotiations, contracting or bill review. Must have knowledge of medical provider/facility billing and coding and insurance explanations of benefits (EOBs).

Skills & Requirements:

Exceptional attention to detail, excellent written and verbal skills, excellent organizational, analytical and problem solving skills and have strong negotiation skills. Capable of handling multiple projects in a fast paced environment. Strong interpersonal and team building skills with ability to work with a diverse team. Must be self-motivated with exceptional follow through skills, tenacious, quick thinking and motivated by success. Must have knowledge of Microsoft Office.

EEOC Statement:

Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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