Claims Specialist
American Cybersystems, Inc.

Innova Solutions is immediately hiring for a Claims Specialist

Position type: Contract
Duration: 6 months
Location: Must be located in Denver metro area*The first day of orientation is onsite and there may be some aspects of training that may need to be done in person until candidate gets up to speed.

As a(n) Claim Specialistyou will:

Under the direction of the Compliance and Contracts Manager, the Claims Specialist is responsible for working with insurance companies to perform denial resolution on outstanding claims and supports the internal Credentialing process of the center. A successful candidate for the Claims Specialist position can utilize their previous medical billing experience to collaborate and communicate effectively with stakeholders while demonstrating problem-solving skills, bringing denied claims to resolution and working to submit necessary credentialing applications to enroll providers in Medicare, Medicaid and Commercial payer insurance.

Essential Functions
Billing:
Work closely with billing staff to review denied claims related to provider credentialing.
Interacts with payers to determine true reason for denial and inquire on what corrections need to be made.
Collaborates with internal and external stakeholders to ensure necessary corrections are submitted timely and accurately.
Ability to work and update multiple issues within a ticketing queue, providing regular status updates.
Sees through the claims reprocessing to achieve the desired results.
Credentialing:
Completes credentialing and re-credentialing applications to add providers to Medicare, Medicaid and Commercial Payers.
Completes revalidation requests issued by government payers.
Maintains accurate and up to date provider profiles on CAQH, PECOS, NPPES, and CMS databases.
Maintains internal documentation to ensure all information is accurate.
Support Credentialing staff in completing quarterly attestations for payers.
Qualifications:
High School or GED required, Associates or Bachelor's preferred.
2+ years health care and medical billing/Revenue Cycle experience required.
General knowledge of finance and accounting functions, policies, practices and terminology.
Ability to research and problem solve, using analytical and critical thinking skills.
Ability to handle multiple tasks simultaneously and work autonomously.
Demonstrated history of resolving challenging issues.
Strong interpersonal skills, including excellent written and verbal communication skills.
Familiarity with Microsoft Office suite (Excel, Outlook, Word) and strong computer skills.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.
Thank you!
Anil Sharma
Sr. Associates
585-351-2268
anil.sharma1@innovasolutions.com

PAY RANGE AND BENEFITS:
Pay Range*: $25 - $28/hr
*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

• One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022)
• ClearlyRated® Client Diamond Award Winner (2020)
• One of the Largest Certified MBE Companies in the NMSDC Network (2022)
• Advanced Tier Services partner with AWS and Gold with MS

Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.
The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

This job has expired.