Who We Are:
At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models.
The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.
Who you are:
- Main role is to help perform document management capabilities including processing documents appropriately and QA-ing content while following internal
processes. - Perform incoming claim review by assigning appropriate statuses; reviewing, organizing, data hygiene; and routing completed files to appropriate auditors.
- Perform incoming claim hygiene by collaborating with the internal teams to manage the import queue, assign statuses, perform balance reconciliation, compare charges to appropriate forms, identify and update errors, and route completed files to appropriate auditors.
- Manage the intake and output of files by handling communication regarding questions, discrepancies, and errors.
- Identify bugs or errors in the production environment and submit service tickets for the development team’s attention.
- Review data and identify trends from various documents and systems, communicate to internal and external teams; paying particular attention to status updates, claims routing, intake efficiency, claim status, inventory, and volume.
- Ensures appropriate volume levels, verifying effective data transfer protocols, and monitoring file-sharing avenues.
- Data entry of itemized bill.
- Performs other duties as assigned.
What Knowledge, Skills & Abilities you bring to the table:
- Healthcare background a plus
- Candidate should have intermediate to advanced skills with computers, including Microsoft Office Suite and Adobe Acrobat, the use of multiple monitors, and can learn and adapt to all company-specific software.
- Exceptional attention to detail, excellent organizational, analytical, and critical thinking skills.
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