Billing Representative - Providence, RI - (Providence, RI)

Job description: Welcome to 1 of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Main responsibilities:Responsible for the accurate processing and completion of medical claims. Process claims that route out of automatic adjudication, within current turnaround standards. Proficiency in product lines applicable to processing unit. Understand and apply plan concepts to include: Deductible Coinsurance Co-pay State variationsRecognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits. Process correspondence and requests for reconsideration within time service standards. Use pre-approved electronic letters as well as handwritten letters to communicate with customers, providers, attorneys, regulators and other external entities.