Reconsideration Specialist

Concentra; Phoenix (AZ); On-site; USD 42,000 - 64,000; Full time

Job summary

Concentra in Phoenix is seeking a Central Billing Office Reconsideration Specialist to process billing adjustments and reconsideration payments in accordance with policies. This role is based at the Sky Harbor Circle Phoenix location and operates on 1st shift, standard business hours, with 100% onsite work.

The position focuses on identifying improper payments, applying appropriate adjustments, and ensuring accurate processing and reporting for state requirements and benefit explanations.

Responsibilities

• Communicates improper payments from payors
• Identifies and monitors incorrect reimbursement issues
• Identifies and applies appropriate adjustments per contracts or 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

Job description

Overview

Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward – always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better.

The Central Billing Office (CBO) Reconsideration Specialist performs a variety of basic tasks to moderately complex tasks to effectively process various billing adjustments and reconsideration payments according to Concentra and Central Billing Office policies and procedures.

• Employment Type: Full-time
• Schedule: 1st shift / standard business hours (Monday–Friday)
• Work Environment: 100% onsite (in-office)
• Location: Sky Harbor Circle Phoenix, AZ

Responsibilities

• Communicates improper payments from payors
• Identifies and monitors incorrect reimbursement issues
• Identifies and applies appropriate adjustments per contracts or 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