The Outsource Group

Worker’s Compensation Claims Resolution Analyst - Wakefield MA

This position requires a thorough working knowledge of worker’s compensation reimbursement model(s), paid claims analysis (including an understanding of coding and medical terminology), appeals processing and full task resolution. The position requires the ability to professionally access claims and supporting documentation from various client data bases. The Claim Analyst will handle a queue of frequently complex, under paid worker’s compensation claims that in addition to FACS will be processed thru our WC re-pricing software. Responsibilities of the position include the accurate verification of underpayments, gathering of all necessary claims information, appealing underpayment with payer, performing appropriate and timely follow-up, occasionally negotiating a resolution to disputed reimbursement issues and verifying proper resolution of said appeal(s).

Some of the qualities we are seeking include the following:

Ability to be well organized and pay careful attention to details
Knowledge and experience with fee schedules and claims pricing
Knowledge of medical terminology and CPT/ICD-9 coding
Excellent writing and communication skills
Strong problem solving skills
Above average experience with Excel
Understanding of CPT guidelines, use of modifiers, procedures, bundling and unbundling of charges etc.

Apply Now

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The Outsource Group’s employees come from all backgrounds, nationalities and beliefs.
But they have the following in common:

They enjoy the kinds of challenges and opportunities that entrepreneurs do.
They don’t wait for someone to tell them the next thing to do.
They like the opportunity to have unlimited earning ability.
They enjoy the healthcare field, and like helping providers and patients solve problems.
They have people skills and are good communicators.
They want a career with upward mobility.

Are YOU an Outsource Group kind of person?

The Outsource Group is an equal opportunity employer.





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Our People, Processes & Technology Our Performance Guarantee Early Out/Self-Pay Receivables Bad Debt Collection Insurance Resolution Third Party Liability Physician & Dental Practice Services Purchase Receivables & Patient Financing Services Medicaid Eligibility Services Download The Outsource Group Brochure	Worker’s Compensation Claims Resolution Analyst - Wakefield MA This position requires a thorough working knowledge of worker’s compensation reimbursement model(s), paid claims analysis (including an understanding of coding and medical terminology), appeals processing and full task resolution. The position requires the ability to professionally access claims and supporting documentation from various client data bases. The Claim Analyst will handle a queue of frequently complex, under paid worker’s compensation claims that in addition to FACS will be processed thru our WC re-pricing software. Responsibilities of the position include the accurate verification of underpayments, gathering of all necessary claims information, appealing underpayment with payer, performing appropriate and timely follow-up, occasionally negotiating a resolution to disputed reimbursement issues and verifying proper resolution of said appeal(s). Some of the qualities we are seeking include the following: Ability to be well organized and pay careful attention to details Knowledge and experience with fee schedules and claims pricing Knowledge of medical terminology and CPT/ICD-9 coding Excellent writing and communication skills Strong problem solving skills Above average experience with Excel Understanding of CPT guidelines, use of modifiers, procedures, bundling and unbundling of charges etc. Apply Now Back to Career Listings The Outsource Group’s employees come from all backgrounds, nationalities and beliefs. But they have the following in common: They enjoy the kinds of challenges and opportunities that entrepreneurs do. They don’t wait for someone to tell them the next thing to do. They like the opportunity to have unlimited earning ability. They enjoy the healthcare field, and like helping providers and patients solve problems. They have people skills and are good communicators. They want a career with upward mobility. Are YOU an Outsource Group kind of person? The Outsource Group is an equal opportunity employer.