Company Name 1
Concentrix
Job Title
Provider Service Advocate
Job Description
• Confirm coverage and work with private payers, commercial payers, Medicaid, and Medicare for reimbursement of provide medical services.
• Research medical records, compliance requirements and explanations of benefits to resolve accounts payable for Medicare, Medicaid and commercial insurance.
• Maintain strict confidentiality/privacy of patients protect health information in accordance with HIPAA regulations.
• Assist with special reports of tracking problem medical claims according to HIPPA guidelines.
• Adhere to strict HIPAA guidelines for handling and processing sensitive information within these claims.
• Review documentation, analyze reject claim data, justify CPT & HCPCS codes and pay HCFA-1500 and UB92 claims.
• Review and resolve claim appeal according to policy guidelines.
• Resubmitted correct claims and appeals to insurance companies within timely filing.
• Verify documents and coordinate health care coverage for patients, including eligibility of benefits.
Job Title
Technical Support
Job Description
provide technical assistance and answers to user’s questions, assisting users by troubleshooting problems with computer hardware or software.