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Change Healthcare Hospital Billing Reimbursement Advocate (Underpayments) in Helena, Montana

Hospital Billing Reimbursement Advocate (Underpayments)

Overview of Position

The Hospital Billing Advocate will validate pursuable underpayment variances.

What will be my duties and responsibilities in this job?

  • Identify variances as a result of both contractual insurance underpayments and denials

  • Recover additional payments

  • Responsible for closing false variances identified by the respective contract modeling system

What are the requirements needed for this position?

  • 1-3 years of related experience with in a hospital or health insurance company in: provider relations, contract management, configuration, or other related health care revenue cycle functions

  • A high school diploma or GED. An Associate’s degree is preferred, with a focus in health care administration, business, finance, or a related field from an accredited college or university

What other skills/experience would be helpful to have?

  • Proficient skills in contract interpretation that includes rates, amendments, terminology with a strong comprehension of limitations, and the insurance industry process and procedures

  • Knowledge of workers compensation regulations and reimbursement methodology

  • Strong decision making and problem-solving skills

  • Familiarity with the CPT-4, ICD-9/10, and MS-DRG/APR-DRG and UB-04 claim form

  • Analytical and/or calculation skills

  • Knowledge of accounts receivables

  • Understanding of managed care contracts

  • Proficiency in MS Word, Excel and PowerPoint

What are the working conditions and physical requirements of this job?

  • Sitting for long periods of time

  • Prolong use of the phone

  • Must be willing to work Eastern Standard Hours

    Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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