AssuredPartners

Bill Review Customer Service Representative

ID
2024-16799
# of Openings
1
Job Family
Workers Compensation
Location : Address
2672 Crenshaw Blvd
Location : Location
US-CA-Torrance

Overview

Respond accurately and promptly to telephone inquiries regarding bill adjudication, fee schedule allowances, IBR process and appeals process.

 

Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability.

What You'll Do

  • Expected to process or answer a minimum combination of a total of 60 appeals/SBRs and phone calls.
  • With the average speed of answer (ASA) of 30 seconds and an abandonment rate of 3%.
  • Call hold times should not exceed 2 minutes without following up with the caller.
  • Understanding of the California Official Medical Fee Schedule (OMFS) to provide current and accurate information to a caller.
  • Call quality should be at 90% and above for all call quality audits.
  • Escalated issues should be followed up within 5 business days of receipt.
  • Attendance is an essential part of the job function and excessive unscheduled tardiness or absenteeism's will be addressed individually.
  • Provide customer service to clients and providers.
  • Request additional information from external sources when required.
  • Review complex or unusual claim situations.
  • Handle claim processing/adjustments as needed.
  • Issue written correspondence to clients and providers.
  • Record call data in call tracking system.
  • Research claims status.
  • Complete all continuing education requirements.
  • Other duties as assigned.                                                    

What You'll Need

  • Minimum of two (2) years of bill review experience and prior customer service background with knowledge of Workers’ Compensation benefits required.
  • California Workers’ Compensation Medical Bill Reviewer designation required.
  • Certified Medical Coder (CPC) designation preferred.
  • IEA 101 and Medical Terminology courses helpful.
  • Excellent verbal and written communication skills.
  • Must be detail oriented and highly organized.
  • Proficient in Microsoft Outlook, Excel, PowerPoint and Word. Adept at accessing business data from the Internet when required.

What's in it For You?

To help you make the best decision for your personal growth, it’s important to us to share a glimpse of what we offer our top asset, our people:   

  • Competitive base salary.   
  • Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days.
  • Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options.    
  • Company match 401(k) plan – 50% up to 6%!   
  • Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers.    
  • Opportunity to prioritize your mental health with 24/7 access to licensed therapists.   
  • Pet benefits & discounts.    
  • Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout our company.

 

Compensation:

 

The target salary range for this position is $50,000.00 to $68,000.00 (US Dollar) annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. Remote work environment flexibility but candidate must reside in California.

Grow, with us

Accretive is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our innovative culture runs deep. We value relationships above all else and consistently deliver best in class customized solutions and service you can trust.

 

Accretive is passionate about fueling our clients’ innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive.  We are proud to be one of the largest brokers in the country, but we’re even prouder of the honest, caring relationships that our employees build with our clients every day.

 

Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. Accretive is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. Accretive is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger! 

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