Convergent employs a dedicated team of expert healthcare attorneys and Account Specialists who navigate the entanglements of the legal system to increase reimbursement rates for our client hospitals all over the country. We apply our advanced technology to calculate anticipated payment for claims in states with complex fee schedules, allowing us to accurately identify and appeal underpaid or denied claims. Our main goal is to assist hospital systems to strengthen their financial and clinical performance. We are also a leading provider of denial management, Workers' Compensation claims resolution, and appeals solutions.
Operations Support has opening for a Client Liaison. This position will be located in Vancouver, WA (Portland, OR area) at Peace Health and will report to our office in Gainesville, VA.
The position entails interfacing with the client to resolve pending inquiries. Review and submit claims for Commercial and/or Medicare payors. Account reconciliation involving posting payments, contractual adjustments, updating FC, Iplans, etc. in EPIC. Assist w/insurance verifications.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform all duties satisfactorily in a professional setting. The requirements listed below are representative of the knowledge, skill and/or ability required.
- Strong analytical, problem-solving, and conflict resolution skills
- Excellent oral and written communication skills
- Comfortable interacting w/client & patients
- Hospital Billing Experience
- Basic knowledge of CPT & HCPCS coding language required, ICD-9 & ICD-10 knowledge a plus
- Understanding of HMOS, PPOs and other Managed Care Plans