Accounts Receivable with Insurance Programmers Incorporated.

Obtains all available data relevant to overpayment identifications.Conduct investigations to determine accuracy of claim payments both propsective and retrospective.Perform research of indicated claims to identify payment issues and accuracy.Complete file setup on Subrogation/Worker's Compensation cases.Update applicable claims systems to ensure that claim payments reflect accurate payment levels.Document and communicate outcomes of claims investigations to applicable… Show more Obtains all available data relevant to overpayment identifications.Conduct investigations to determine accuracy of claim payments both propsective and retrospective.Perform research of indicated claims to identify payment issues and accuracy.Complete file setup on Subrogation/Worker's Compensation cases.Update applicable claims systems to ensure that claim payments reflect accurate payment levels.Document and communicate outcomes of claims investigations to applicable stakeholders.Identify, report, and implement opportunities to improve processes and procedures.Demonstrate understanding of applicable federal, state, and local compliance regulations.Demonstrate understanding of relevant privacy regulations. (HIPAA, Fair Claims Preactices)Demonstrate knowledge of healthcare coding practices. (CPT, ICD-9) Show less

Investigate and determine insurance primary issues.Interface with other insurance carriers, and government Medicare agency.Research claims for incorrect payment and identify claims for possible recovery.Take initiative to propose new and better ways of doing business.

Data Entry Clerk Responsibilities.Mail sorting and handling.Standard office work and duties, including file work and shredding of documents.