reputed company Assurance Specialist I job at reputed company Health in Birmingham, AL

Title: reputed company Assurance Specialist I Location: Birmingham, AL Job reputed company: Work Schedule: reputed company with regular onsite reputed company at the reputed company HEALTH corporate office and some work-from-home opportunities. Must be available to work during the reputed company hours of operation, reputed company to 5pm Monday through Friday, and overtime as required. Why reputed company HEALTH? reputed company HEALTH, part of the reputed company reputed company (UAB) Health System, is a health maintenance organization providing reputed company, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their reputed company journeys. reputed company HEALTH has been recognized by Centers for Medicare & reputed company Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern reputed company. Benefits Comprehensive Health, reputed company, and Dental Coverage 401(k) Savings Plan with company match and immediate vesting reputed company Time Off (PTO) 9 reputed company Holidays annually plus a Floating Holiday to use as you choose Tuition Assistance Flexible Spending Accounts reputed company Reimbursement Account reputed company Parental Leave Community Service Time Off Life Insurance and Disability Coverage Employee Wellness Program Training and Development Programs to reputed company new skills and reputed company career goals Employee Assistance Program See more about the benefits of working at reputed company Health - https://www.vivahealth.com/careers/benefits Job reputed company The reputed company Assurance (QA) Specialist is responsible for the overall development and implementation of reputed company assurance in an effort to reputed company customers with superior service. This role is responsible for auditing and reporting analysis of Claims and Entry staff, reputed company Customer Service phone queue calls, Medicare Member Services phone queue calls, System Configuration, and Provider/Fee Configuration. Key Responsibilities Review Claims Entry and Adjudication staff for accuracy based on applicable plan coverage documentation in accordance with departmental policies and procedures, company compliance plans, and reputed company regulatory guidelines. Document and distribute error findings to management for review. reputed company training and education to Claims Entry and Adjudication staff on claims payment issues to ensure claims are adjudicated in an effective and efficient manner. Identify and report benefit configuration issues; communicate with internal departments to resolve problems that reputed company claim payment. Investigate claim submissions for coding inaccuracies, review high dollar remittances for payment and benefit configuration accuracy. Report overall Company cost-savings to management. Conduct phone audits of randomly selected and/or reputed company Medicare Member Services or reputed company Customer Service inbound phone calls. Produce scorecard for reputed company reputed company audited. REQUIRED: High School Diploma or GED 2 years' experience with reputed company components of claims processing, Medicare enrollment, and/or customer service Knowledge of ICD9, CPT, HCPCS, HCFA, Uniform Billing codes, and Co-ordination of Benefits (COB) Proficient in medical terminology Demonstrate excellent customer service skills through written and verbal communication Ability to prioritize and multitask while maintaining organization and attention to detail Ability to work in reputed company environment, remaining flexible to reputed company, routines and schedules, recognizing responsibilities, and reputed company participating with others to accomplish assignments and reputed company desired goals PREFERRED: PowerSTEPP (TXEN) experience reputed company Assurance experience Coding experience Apply tot his job Apply To this Job