We are seeking individuals who are prepared to embody the values of Thinking Big, Moving Quickly, Inspiring, and Achieving Success Together.
These fundamental principles reflect our diverse and all-encompassing environment and guide us in fulfilling our goal of providing timely and effective care to those in need.
For the past three decades, our organization has solidified its position as the top provider of managed care services for the workers’ compensation sector. Our dedication lies in making a beneficial difference in the lives of the injured workers we assist, and we thoroughly enjoy doing so.
Hourly Salary Range: $17.75 – $26.7
This salary bracket encompasses a variety of elements that are taken into consideration when determining compensation, such as expertise, past experience and training, licensing and certifications, and pertinent business and organizational requirements.
The stated estimate for the range does not include any geographic differentials that may apply based on the location where the position is filled. At One Call, it is not customary for an employee to be hired at the maximum range for their position, as compensation determinations are based on individual circumstances. A reasonable approximation of the present range is $17.75 – $26.7 per hour.
Summary of Benefits:
As a token of appreciation for your dedication to our company’s mission, we provide a wide range of benefits to assist in supporting your overall well-being.
- Opportunities for remote work are available.
- Employees can receive competitive wages and have the chance to earn annual merit increases.
- Utilize allocated development hours for personal and collaborative growth and progress!
- Employees are entitled to a generous amount of paid time off, including 8 company holidays and 2 personal days annually.
- The $1,000 Colleague Referral Program is available for employees to participate in.
- The Enterprise Recognition Program aims to acknowledge and reward colleagues for their exceptional performance and contributions.
- Through the work discount program, individuals can enjoy special offers and savings on travel, activities, and merchandise.
- The Colleague Assistance Program offers complimentary counseling and financial support services.
- A program for Tuition Reimbursement, which also covers certification expenses.
- Our colleagues can utilize Quantum Health, a platform designed for healthcare navigation, to make informed and budget-friendly decisions regarding their health.
- Insurance for medical, dental, and vision coverage.
- Health savings accounts, such as Pre-Tax FSA and HSA, allow individuals to save money on healthcare expenses before taxes are applied.
- Matching for 401(k) contributions
- Life insurance provided by the company
- The company provided coverage for both short-term and long-term disability.
- Program for referrals
- Medical concierge
The One Call Foundation has the goal of assisting coworkers in times of unforeseen crises, ranging from automobile collisions to acts of nature.
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SUMMARY OF the JOB of Retro Billing Associate II:
The job of the Retro Billing Associate is to examine bills that have been submitted through One Call’s retrospective program by payors and channel partners. They adhere to state and federal regulations, fee schedules, and specific guidelines from customers to secure greater savings for our clients. In order to ensure precise and effective bill processing, the associates also communicate with Providers and Claim Professionals when needed. Additionally, they provide timely responses to any inquiries from both internal and external customers.
II Retro Billing Associate
This is a position that requires intermediate skills and a strong level of proficiency. The main responsibilities include processing billing disputes and addressing inquiries. While most questions and issues are routine, the associate may need to deviate from standard procedures when necessary. Additionally, they will provide support in resolving billing problems within the department. They may also mentor and share knowledge with less experienced associates. The role operates under general supervision with limited room for independent decision-making. The associate may seek guidance from more experienced team members to gain knowledge through practical experience. A High School diploma is required, along with at least 1-3 years of experience in an office environment and/or billing.
DUTIES AND RESPONSIBILITIES: GENERAL
- Acquires knowledge and stays updated on billing protocols and regulations, including federal and state regulations, as well as internal procedures that impact processing.
- The department relies on the expertise of individuals who are knowledgeable in billing and coding guidelines and regulations.
- The customer can benefit from cost savings through the utilization of both internal and external billing protocols and regulations to reprice bills.
- Recognizes current opportunities in regards to policies and procedures that can improve the efficiency and accuracy of bill processing.
- Conducts reviews and research to address and resolve billing errors.
- Customer inquiries are reviewed, researched, and resolved by the company.
- Maintains and creates process documentation for every task that is assigned.
- Collaborates with the relevant internal teams to address and resolve any problems or inconsistencies.
- Completes tasks as directed by superiors in addition to other related responsibilities.
REQUIREMENTS FOR EDUCATION AND EXPERIENCE:
- A high school diploma or GED is a necessary requirement.
SKILLS, KNOWLEDGE & ABILITIES:
- Understanding of the guidelines and laws pertaining to billing, as well as federal and state regulations.
- Customer satisfaction is greatly enhanced when one possesses exceptional customer service abilities.
- Strong abilities in both spoken and written communication.
- Skills in navigating and operating computers.
- Possessing strong organizational skills and a keen attention to detail
- The skill to handle multiple tasks
- The capacity to function autonomously as well as in a collaborative setting.
- Capacity to uphold privacy
- Skilled in utilizing Microsoft Office.
WORK ENVIRONMENT & PHYSICAL/EMOTIONAL DEMANDS:
This position, whether in an office or home environment, mainly involves sitting and potentially repetitive movements. The employee’s regular duties include sitting, using their hands and fingers, speaking, and listening.
The employee may need to periodically stand, walk, and carry items (weighing up to 10 lbs. and reaching heights of up to 4 ft.).
The job necessitates certain visual abilities such as the capacity to view objects up close and the ability to focus and adjust vision.
The office setting makes use of fluorescent lighting and the noise level is considered moderate.
The job’s emotional requirements may result in excessive pressure stemming from, but not limited to, routine weekly/bi-weekly/quarterly/year-end due dates, as well as a moderate to heavy workload.
Reasonable adjustments will be evaluated on an individual basis and potentially implemented in order to support individuals with disabilities in carrying out the crucial duties of the role.
Kindly note that the job description is subject to modifications at any given moment.
FAQs
How does retro billing work?
Retro billing allows us to identify and recover payment for services that were provided in the past but never properly billed or paid. We review historical records to find any unbilled or under-billed services, then process and submit the appropriate claims to the correct payers to recover the maximum allowable payment.
Does retro billing really make a difference?
For most of our clients, retro billing recovers hundreds of thousands to millions of dollars per year in revenue that would otherwise be lost. That can make a huge impact on a healthcare organization’s financial viability and ability to continue providing quality care. Retro billing is well worth the investment.