Retro Billing Associate I

CXCENTRODECONTACTO; Claussville (PA); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive base salary

Food vouchers

Professional growth

Job summary

One Call is a leading healthcare solutions provider specializing in the coordination of care for injured workers within the Workers' Compensation industry. The Retro Billing Associate role focuses on reviewing and processing medical bills submitted through the retrospective billing program, ensuring compliance with federal and state regulations and internal policies.

The ideal candidate is analytical, detail-oriented, and capable of delivering excellent customer service in a fast-paced

Qualifications

• Analytical thinking and problem-solving skills.
• Strong attention to detail and accuracy.
• Excellent verbal and written communication abilities.
• Ability to multitask and prioritize workload effectively.
• Ability to work independently and within a team.

Responsibilities

• Review and process medical bills according to company policies and regulatory guidelines.
• Apply billing rules, fee schedules, and customer-specific requirements to ensure accurate bill processing.
• Research and resolve billing discrepancies and processing errors.
• Respond to billing inquiries from internal and external customers.
• Communicate with healthcare providers, claim professionals, and internal departments to resolve billing-related issues.
• Maintain accurate documentation and records of billing activities.
• Identify opportunities to improve billing processes and operational efficiency.
• Support continuous improvement initiatives within the department.

Skills

Analytical thinking

Attention to detail

Customer service

Time management

Written and verbal communication

Team collaboration

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Retro Billing Associate

About One Call

One Call is a leading healthcare solutions provider specializing in the coordination of care for injured workers within the Workers' Compensation industry. With more than 30 years of experience, One Call partners with insurance carriers, third-party administrators (TPAs), and self-insured employers to simplify the claims process and improve outcomes for injured workers. Headquartered in Jacksonville, Florida, One Call delivers end-to-end healthcare coordination through an innovative, technology-enabled platform and a nationwide network of providers. Our mission is to ensure injured workers receive timely, high-quality care while delivering exceptional service to our clients and partners.

Position Summary

The Retro Billing Associate is responsible for reviewing and processing medical bills submitted through One Call's retrospective billing program. This role ensures billing accuracy by applying federal and state regulations, fee schedules, customer-specific guidelines, and internal policies to achieve cost savings while maintaining compliance.

The ideal candidate is analytical, detail-oriented, and committed to delivering exceptional customer service while working in a fast-paced environment.

Key Responsibilities

• Review and process medical bills according to company policies and regulatory guidelines.
• Apply billing rules, fee schedules, and customer-specific requirements to ensure accurate bill processing.
• Research and resolve billing discrepancies and processing errors.
• Respond to billing inquiries from internal and external customers.
• Communicate with healthcare providers, claim professionals, and internal departments to resolve billing-related issues.
• Maintain accurate documentation and records of billing activities.
• Identify opportunities to improve billing processes and operational efficiency.
• Support continuous improvement initiatives within the department.
• Perform additional duties as assigned.

Qualifications

Required

• High School Diploma or GED.
• Strong computer skills, including Microsoft Office.
• Excellent verbal and written communication skills.
• Strong attention to detail and organizational skills.
• Ability to multitask and prioritize workload effectively.
• Ability to work independently and collaboratively within a team.
• Strong customer service skills.
• Ability to maintain confidentiality.

Preferred

• Previous experience in medical billing, billing operations, healthcare administration, insurance, or Workers' Compensation.
• Experience work in a BPO, administrative, or office environment.
• Knowledge of medical billing guidelines, coding, or fee schedules is a plus.

Skills & Competencies

• Analytical thinking and problem-solving.
• Attention to detail and accuracy.
• Customer service orientation.
• Time management and organizational skills.
• Effective written and verbal communication.
• Ability to interpret policies, procedures, and billing regulations.
• Adaptability in a fast-paced environment.
• Collaboration and teamwork.

Work Environment

• Office/BPO environment.
• Fast-paced, productivity-driven operation.
• Daily interaction with internal teams, providers, and clients.
• Ability to manage multiple priorities while maintaining accuracy and quality.

Benefits

• Competitive base salary.
• Food vouchers.
• Law benefits.
• Fully paid training.
• Monday–Friday schedule.
• Professional growth and career development opportunities.
• Collaborative and dynamic work environment.

Schedule

Operations: Monday–Friday | 6:00 a.m. - 3:00 p.m.

Location

Edificio Varzor – Monterrey, Nuevo León

Requirements

• High School Diploma or GED
• Experience in billing, healthcare administration, insurance, customer service, or administrative roles is a plus.
• Strong attention to detail and analytical skills.
• Proficiency with Microsoft Office and computer applications.
• Ability to work independently while collaborating with cross-functional teams.
• Excellent communication and organizational skills.

Join One Call and become part of a team dedicated to delivering accurate billing solutions and supporting quality healthcare services for injured workers across the United States.