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FIRST CHOICE HEALTH
COMPANY INFORMATION:

First Choice Health is a Seattle-based, physician and hospital-owned company serving Washington and the Northwest since 1985. We now serve well over one million people with our array of products and services. Our Preferred Provider Organization (PPO) is recognized as the leading independent PPO in Washington State and has a growing regional presence in Oregon, Idaho, Montana and Alaska.

We occupy a great downtown location, pay competitive salaries and offer a comprehensive benefits package including medical, dental, vision, health savings accounts, flexible spending accounts, life and disability insurance, EAP, 401(k), profit sharing, tuition reimbursement, transportation assistance, credit union and gym membership discounts.

REIMBURSEMENT SPECIALIST - Internal Candidates Only - Posting Closes on 5/14/2010
JOB SUMMARY:

According to established departmental policy, procedure, and standards be responsible for the pricing of claims received by mail, facsimile and electronic transactions.

MAIN DUTIES:
  • Price claims based upon defined criteria in a timely and accurate manner, according to established benchmarks.
  • Assist both FCHN staff and external clients with questions, problems, and issues relative to pricing functions.
  • Report any network data discrepancies to the department supervisor for potential corrective follow-up action.
  • Maintain established department benchmarks for production and quality of work.
  • Assist the Business Systems Analyst in testing program system fixes and revisions as required.
  • Assist the Business Systems Analyst in testing new fee schedule rates and facility contract rates as required.
  • Direct questions regarding group and payor information to department supervisor for potential corrective follow-up action.
  • Provide support to other Reimbursement Specialists as needed.
  • Adhere to all department and company policies and procedures.
  • Other duties as required.
REQUIREMENTS:
  • High School diploma or equivalent and 2-3 years experience in a healthcare claims data entry environment.
  • Advanced computer skills and knowledge.
  • Strong written, verbal, and interpersonal skills.
  • Ability to organize, manage, control work flow, and meet deadlines.
  • Ability to work independently and as a member of a team.
CONTACT INFORMATION:

Please submit your resume to jobs@fchn.com.

Additional information about our company may be found on our website www.fchn.com
 
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