Medical Billing Reconsideration Specialist

Concentra, Inc.; Phoenix (AZ); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

401(k) Retirement Plan with Employer M

Life & Disability Insurance

Paid Time Off & Extended Illness Days

Colleague Referral Bonus Program

Tuition Reimbursement

Dependent Care Spending Account

Employee Discounts

Job summary

Concentra, Inc. in Phoenix, AZ seeks a Central Billing Office Reconsideration Specialist to process billing adjustments and reconsideration payments in line with policies. This full-time role operates on 1st shift, Monday–Friday, with standard business hours at Sky Harbor Circle Phoenix.

You will work with payors, monitor reimbursements, and ensure accurate state reports and explanations of benefits. The position requires high school diploma and 1-3 years of medical billing experience, with

Qualifications

• High School Diploma or GED required; college degree preferred.
• Degree must be from an accredited college or university.

Responsibilities

• Communicates improper payments from payors
• Identifies and monitors incorrect reimbursement issues
• Identifies and applies appropriate adjustments per contracts/state requirements
• Processes and monitors all reconsiderations ensuring processing with the appropriate state reports, transcription, and explanation of benefits
• Follows-up on all previously sent reconsiderations for proper payment
• Processes short/zero payments for reconsiderations
• Communicates with CBO supervisor/manager regarding issues and resolution
• Performs other duties as assigned

Skills

Service mindset

Attention to detail

Sense of urgency

Initiative

Flexibility

Decision making

Customer service

HIPAA/PHI handling

CPT/ICD-9 coding

Problem solving

Organizational skills

Fast-paced environment

Research workers comp rules

Education

High School Diploma or GED

Degree from an accredited college or university

Job description

Concentra, Inc. in Phoenix, AZ seeks a Central Billing Office Reconsideration Specialist to process billing adjustments and reconsideration payments in line with policies. This full-time role operates on 1st shift, Monday–Friday, with standard business hours at Sky Harbor Circle Phoenix.

You will work with payors, monitor reimbursements, and ensure accurate state reports and explanations of benefits. The position requires high school diploma and 1-3 years of medical billing experience, with