CenterWatch

12 days old

Billing & Collections Clerk

Kelly Services
Brockton, MA 02305
Kelly Services is currently seeking a full time 3rd Party Claims Specialist for one of our top clients in Brockton, MA! As a 3rd Party Claims Specialist placed with Kelly Services you will be responsible for ensuring maximum reimbursement by resolving payer rejected claims with critical deadlines. As well as adhering to compliance standards and mitigating financial risk in a high volume, fast paced environment.





Pay: $16-$17/hr.



Schedule: M-F 8a-5p





Duties may include, but are not limited to:




+ Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks

+ Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines.

+ Ensure approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement.

+ Contact providers and/or customers as necessary to obtain additional information.

+ Monitor and resolve at risk revenue associated with payer set up, billing, rebilling and reversal processes.

+ Work as a team to identify, document, communicate and resolve payer/billing trends and issues

+ Timely complete, communicate and submit necessary payer paperwork including but not limited to prior authorizations forms and manual billing.

+ Review and work convert billing exception reports to ensure claims are billed to accurate financial plans.

+ Complete billing transactions for non-standard order entry situations as required.

+ Support training needs

+ Prepares and maintains reports and records for processing.

+ Performs other tasks as assigned.

+ Conducts job responsibilities in accordance with the standards set out in the Companys Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.







DESIRED QUALIFICATIONS:




+ 1 year related experience. Pharmacy Technician Experience is a plus

+ Strong customer service background.

+ Ability to retain a large amount of information and apply that knowledge to related situations.

+ Ability to work in a fast paced environment.

+ Basic math aptitude.

+ Microsoft Office Suite

+ Oral and written communication.

+ Detail Orientation.

+ Results Orientation.

+ Teamwork.

+ Adaptability to an ever changing environment.



If you are interested in this position please include a copy of your resume and email me at KENC251@kellyservices.com




**Why Kelly** **** **?**


At Kelly
Services , we work with the best. Our clients include 95 of the Fortune
100 companies, and more than 70,000 hiring managers rely on Kelly annually to access
the best talent to drive their business forward. If you only make one career connection today, connect
with Kelly.




**AboutKelly Services** ****




As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people
around the world and have a role in connecting thousands more with work through our global network of
talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .


Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,
Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is
committed to employing a diverse workforce. Equal Employment Opportunity
is The Law.
Posted: 2019-08-05 Expires: 2019-09-05

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Billing & Collections Clerk

Kelly Services
Brockton, MA 02305

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