Job Opening

Insurance Specialist (Claims set up)

 

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Did you know that we spend over 2,000 hours at work in a year? We want Clinicient to be a place where people from different backgrounds and experiences can do their best work, a place where our people belong, a place where we are people not titles, and a place where we want everyone to fulfill their potential.

Role Summary

The Payer Set-Up Analyst is a key player in the Operations Team.  They are tasked with the responsibility of timely and accurate execution of the payer set up, so bills can go out correctly the first time.

Essential Responsibilities

  • Keep up-to-date payer enrollment processes and maintain approval turnaround times.
  • Familiarity with top payer enrollment applications.
  • Provides support to Operations department for regulatory billing compliance issues as requested/required.
  • Review/Correct payer settings based upon Companion and Billing Guidelines to ensure accurate set up and billing.
  • Verification of new client’s contracts, credentialing status, provider numbers, and effective dates to ensure accurate set up for clean billing.
  • Develop and maintain payer knowledge and rules.

Secondary Duties and Responsibilities

  • Research payer requirements for ad hoc projects.
  • Change over Pay to Address for Total Insight Clients.
  • Be very inquisitive in regards to the intentions of the client and insurance company.
  • Be passionate and assertive in problem solving.
  • Identify way to continuously streamline process and automate where possible.
  • Subject Matter Expert for enrollment and credentialing related issues.
  • Provide guidance back to customers on credentialing and enrollment needs.

Knowledge, Skills and Abilities

  • Must be a role model of Clinicient’s Core Values: People, Client Focus, Trust, Innovation, Fun, Excellence and Teamwork
  • Passionate about process improvement.
  • Customer focused with a passion for identifying and solving customer problems.
  • Exceptional written and verbal communication skills with a proven ability to interact effectively with a variety of external and internal constituents.
  • Strong analytical and problem solving skills with ability to analyze and interpret large amounts of data.
  • Organized multitasker with ability to identify and track progress against priorities.
  • Committed to delivering tasks and projects on time.
  • Demonstrated ability to work in a highly interdependent team environment.
  • Flexible and adaptable. Constantly in search of new and better methods.

Education and Experience

  • 3+ years of healthcare experience with denial management, billing, and collections experience required.
  • Previous experience with Medicaid and worker comp payers highly desirable.
  • Proficient with Excel and Word required.
  • Clearinghouse experience preferred.
  • Knowledge of multiple clinic Tax ID and NPI experience a plus.

About Clinicient

Our Vision

Clinicient’s vision is to improve 20 million lives by 2025. This is our higher purpose and what drives us to help therapists and clinics thrive in all aspects of their business.  Get inspired by how therapists are improving lives every day.

Our Mission

Our mission is a noble one: to reward great care through partnerships with the clinicians we serve. We do this by combining the clinical tools that allow our clients to efficiently deliver and document care and the financial tools to maximize reimbursements.

Benefits and Perks

Clinicient offers comprehensive and affordable medical, dental and vision plans, flexible spending accounts, $100.00 monthly transportation reimbursement, 401k plan, wellness program, and paid time-off. We are in the heart of Downtown, Portland, Oregon and offer a flexible and creative workplace that includes a game room, fully stocked fridge, local microbrews, and many fun events throughout the year.

 

Clinicient is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

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