CTG Jobs

With over 45 years of experience, CTG excels at providing exceptional career opportunities for IT professionals in higher-growth industries.

Job Information

CTG CLAIMS RECOVERY COLLECTOR I in Irving, Texas

CLAIMS RECOVERY COLLECTOR I

Irving, Texas, United States

Information Technology

Jun 24, 2019Post Date

19206576Requisition #

Apply for JobShare this JobSign Up for Job Alerts

Computer Task Group is seeking a Claims Recovery to work a five-month contract position in Irving, Texas.

Required Function 1:

We are seeking a talented individual for a Claims Recovery Collector I who is responsible for recovering payments from commercial insurance carriers who should have paid primary to the Medicaid agency

We are seeking a talented individual for a Claims Recovery Collector I who is responsible for recovering payments from commercial insurance carriers who should have paid primary to the Medicaid agency

Required Function 2:

Essential Responsibilities:- Confer with carriers by telephone or use Web sites to determine member eligibility and claim status.- Assess denials, pursue appeals or close claims when appropriate.- Update case management system with proper noting of actions and appeal/denial information.- Respond to carrier telephone, fax and e-mail inquiries regarding outstanding claims.- Sort and file correspondence.- Mail form letters to carriers to affect payment of outstanding claims.- Contact providers to obtain additional information and/or documentation to resolve unpaid claims.- Manage a weekly aging report.- Responsible for achieving high recoveries against a portfolio of claims.

Essential Responsibilities:- Confer with carriers by telephone or use Web sites to determine member eligibility and claim status.- Assess denials, pursue appeals or close claims when appropriate.- Update case management system with proper noting of actions and appeal/denial information.- Respond to carrier telephone, fax and e-mail inquiries regarding outstanding claims.- Sort and file correspondence.- Mail form letters to carriers to affect payment of outstanding claims.- Contact providers to obtain additional information and/or documentation to resolve unpaid claims.- Manage a weekly aging report.- Responsible for achieving high recoveries against a portfolio of claims.

Required Function 3:

  • Work with document imaging system for archival purposes.- Ensure that payers adhere to laws regarding timely filing of claims.- Pursue each outstanding account to reach maximum reimbursement by working with subject matter experts to resolve challenging claims.- Develop recovery strategies with each payer.- May have some training responsibilities limited to projects and specific tasks

  • Work with document imaging system for archival purposes.- Ensure that payers adhere to laws regarding timely filing of claims.- Pursue each outstanding account to reach maximum reimbursement by working with subject matter experts to resolve challenging claims.- Develop recovery strategies with each payer.- May have some training responsibilities limited to projects and specific tasks

Knowledge, Skills and Abilities:- Strong understanding of third-party billing and/or claims processing.- Ability to use critical thinking skills.- Possess good customer service skills.- Ability to adapt to change.- Ability to manage time effectively and multi-task.- Ability to prioritize work.- Ability to perform basic calculations.- Ability to work proficiently with Microsoft Windows, Word and have basic knowledge of Excel.- Average manual dexterity in use of a PC, phone, sorting, filing and other office machines.- Ability to be detail oriented.- Ability to learn and follow HIPAA privacy and Security rules.- Ability to work independently to meet predefined production and quality standards.- Ability to perform well in a team environment to achieve business goals.

Knowledge, Skills and Abilities:- Strong understanding of third-party billing and/or claims processing.- Ability to use critical thinking skills.- Possess good customer service skills.- Ability to adapt to change.- Ability to manage time effectively and multi-task.- Ability to prioritize work.- Ability to perform basic calculations.- Ability to work proficiently with Microsoft Windows, Word and have basic knowledge of Excel.- Average manual dexterity in use of a PC, phone, sorting, filing and other office machines.- Ability to be detail oriented.- Ability to learn and follow HIPAA privacy and Security rules.- Ability to work independently to meet predefined production and quality standards.- Ability to perform well in a team environment to achieve business goals.

Required Function 5:

Work Conditions and Physical Demands:- Primarily sedentary work in a general office environment- Ability to communicate and exchange information- Ability to comprehend and interpret documents and data- Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)- Requires manual dexterity to use computer, telephone and peripherals- May be required to work extended hours for special business needs

Work Conditions and Physical Demands:- Primarily sedentary work in a general office environment- Ability to communicate and exchange information- Ability to comprehend and interpret documents and data- Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)- Requires manual dexterity to use computer, telephone and peripherals- May be required to work extended hours for special business needs

Required Function 6:

Minimum Education:- High School Diploma or GED required, Associates degree preferred

Minimum Education:- High School Diploma or GED required, Associates degree preferred

Required Function 7:

Minimum Related Work Experience:- > 2 yrs experience with third party institutional billing, >1 yr experience handling claims appeals, Ability to interpret anExplanation of Benefits (EOB) and UB-04 claim form required; DSM-IV, CPT, HCPCS, and CMS-1500 preferredNothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job atany time

Minimum Related Work Experience:- > 2 yrs experience with third party institutional billing, >1 yr experience handling claims appeals, Ability to interpret anExplanation of Benefits (EOB) and UB-04 claim form required; DSM-IV, CPT, HCPCS, and CMS-1500 preferredNothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job atany time

CTG (NASDAQ: CTG) provides industry-specific IT services and solutions that address the business needs and challenges of clients in high-growth industries in North America and Western Europe. CTG also provides strategic staffing services for major technology companies and large corporations. Backed by more than 50 years of experience and proprietary methodologies, CTG has a proven track record of reliably delivering high-value, industry-specific staffing services and solutions to its clients. CTG has operations in North America, Western Europe, and India.

CTG's greatest asset is its people, and as such, we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work in Healthcare company by Modern Healthcare (2013-2016) in North America, and a Best Workplace in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Additional Information

  • Job Function: Customer Support

  • Education Level: High School Diploma/GED (±11 years)

  • Work Remote: No

  • Travel: No

DirectEmployers