pappash
New
http://www.pinnacol.com/careers/current-opportunities/
Provider Medical Bill Auditor
Pinnacol Assurance is looking for and experienced Provider Medical Bill Auditor to be responsible for all of the functions of a bill auditor including but not limited to, identifying trends in billing errors, making recommendations on how to prevent future errors, and documentation of the findings along with steps taken to collect overpayments. Candidates should bring a comprehensive knowledge of all billing codes and guidelines, strong knowledge of professional and institutional bill processing procedures, knowledge of medical terminology, and a comprehensive knowledge of processing systems and DOWC rules and procedures. This position requires a Bachelors Degree or equivalent experience on a year for year basis along with a minimum 5 years in billing or bill processing experience. Certified Professional Coder (CPC) is a plus.
Complex Bill Processor
Pinnacol Assurance is looking for a Complex Bill Processor to focus on medical coding to ensure that hospitals and physicians are billing properly, with correct coding and supporting documentation so that reimbursement is made at the appropriate level. This position reviews all referred bills for reasons of surgical denials, appeals, by report codes, unlisted procedure codes, and back surgery bills with denials and provides support to the team regarding any coding questions that generally relate to surgical procedures. This role also provides support to providers regarding status of claims and phone calls regarding denials. Knowledge of both the medical and business sides of health care are essential in this detail-oriented field of health information management. Requires extensive knowledge of Anatomy and Physiology, Medical Terminology, Training of Rule 18 and Interpretive Bulletin. Candidates must pass the American Academy of Professional Coders exam (AAPC) and have a minimum of four years experience in medical coding/bill payment processing. Coding Certification (CPC) and/or Payer Certification (CPC-P) is required.
Med Pay Reviewer/Processor
Pinnacol Assurance is looking for a detail-oriented Med Pay Reviewer Processor with at least 1 year of computerized claims processing experience, a good working knowledge of medical terminology including CPT and ICD9 codes and the ability to work in a fast-paced environment. This position reviews bills for services related to Pinnacols liability as a workers compensation insurer and is responsible for reviewing or entering all fields on each bill to verify the data is correct and reviewing all system parameters to establish that billed charges are payable. Applies Colorado Workers Compensation fee schedules and PPO discounts to billings and communicates with other departments and/or providers when required. Position starts as office-based, but the option to work from home is available once a processor demonstrates mastery of the position and the ability to meet daily production quality and quantity standards. Must be familiar with CMS 1500 and UB94 billing forms as well as a variety of other types of billing. Experience on PPO claims is a plus and Coding certification is preferred.
Provider Medical Bill Auditor
Pinnacol Assurance is looking for and experienced Provider Medical Bill Auditor to be responsible for all of the functions of a bill auditor including but not limited to, identifying trends in billing errors, making recommendations on how to prevent future errors, and documentation of the findings along with steps taken to collect overpayments. Candidates should bring a comprehensive knowledge of all billing codes and guidelines, strong knowledge of professional and institutional bill processing procedures, knowledge of medical terminology, and a comprehensive knowledge of processing systems and DOWC rules and procedures. This position requires a Bachelors Degree or equivalent experience on a year for year basis along with a minimum 5 years in billing or bill processing experience. Certified Professional Coder (CPC) is a plus.
Complex Bill Processor
Pinnacol Assurance is looking for a Complex Bill Processor to focus on medical coding to ensure that hospitals and physicians are billing properly, with correct coding and supporting documentation so that reimbursement is made at the appropriate level. This position reviews all referred bills for reasons of surgical denials, appeals, by report codes, unlisted procedure codes, and back surgery bills with denials and provides support to the team regarding any coding questions that generally relate to surgical procedures. This role also provides support to providers regarding status of claims and phone calls regarding denials. Knowledge of both the medical and business sides of health care are essential in this detail-oriented field of health information management. Requires extensive knowledge of Anatomy and Physiology, Medical Terminology, Training of Rule 18 and Interpretive Bulletin. Candidates must pass the American Academy of Professional Coders exam (AAPC) and have a minimum of four years experience in medical coding/bill payment processing. Coding Certification (CPC) and/or Payer Certification (CPC-P) is required.
Med Pay Reviewer/Processor
Pinnacol Assurance is looking for a detail-oriented Med Pay Reviewer Processor with at least 1 year of computerized claims processing experience, a good working knowledge of medical terminology including CPT and ICD9 codes and the ability to work in a fast-paced environment. This position reviews bills for services related to Pinnacols liability as a workers compensation insurer and is responsible for reviewing or entering all fields on each bill to verify the data is correct and reviewing all system parameters to establish that billed charges are payable. Applies Colorado Workers Compensation fee schedules and PPO discounts to billings and communicates with other departments and/or providers when required. Position starts as office-based, but the option to work from home is available once a processor demonstrates mastery of the position and the ability to meet daily production quality and quantity standards. Must be familiar with CMS 1500 and UB94 billing forms as well as a variety of other types of billing. Experience on PPO claims is a plus and Coding certification is preferred.
Last edited: