Retro Billing Associate — Precise Claims & Process Improvement

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

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