Resolution and Adjustment Specialist - Tallahassee, United States - CNSI

CNSI Tallahassee, United States

4 weeks ago

Description

** Resolution and Adjustment Specialist**

**Job Category****:** Adjustment and Resolutions **Requisition Number****:** RESOL002604 Showing 1 location **Job Details**

**Description**

***CNSI is currently seeking a Resolution and Adjustment Specialist to join our growing team***

As a Resolution and Adjustment Specialist you will be assisting with bill-specific research to resolve outstanding issues and provide guidance in a variety of duties.

**Responsibilities:**

Research and Resolve medical bill data, making necessary corrections of information by comparing data with source documents to identify root causes

Request additional information needed to complete adjudication of bills

Research and Review submitted bills requesting adjustment consideration, and process according to Government policies and procedures

You will make the appropriate bill adjustment into the claims system according to contractual requirements and timelines

You will possess unwavering commitment to customer service and operational excellence

**Experience/Preferred Skills:**

High school diploma or GED with at least five 5+ years experience conducting research to resolve issues within the healthcare field

Expert knowledge of medical terminology including medical diagnosis and procedure codes

General knowledge of Workers compensation and medical terminology

Familiarity with medical bill/claim forms, ICD-9/10CM coding, CPT coding, bill forms, and other medical coding schemes (certification desired)

The ability to simultaneously navigate through various computer claim and eligibility platforms

Have outstanding customer satisfaction skills

At CNSI, we strive to be the market leader and most trusted partner for innovative and transformative technology-enabled solutions that improve health outcomes and reduce costs. Were passionate about helping our clients improve the health and well-being of individuals and families. We succeed when our clients succeed.

Innovation and commitment to our mission are core to our DNA. And through our shared values, we foster an environment of inclusion, empowerment, accountability, and fun You will be offered a competitive compensation and benefits package.

CNSI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status, or any other status protected by applicable federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.

Kindly inquire during the interview process if this position is subject to President Bidens Executive Order on Ensuring Adequate COVID Safety Protocols for Federal Contractors, requiring you to be vaccinated by December 8, 2021.

**Qualifications**

**Skills**

**Behaviors**

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**Education**

**Experience**

**Licenses & Certifications**

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR c)

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