Resolution & Adjustment Coordinator-SCA
$20.85/h-$26.06/h
Acentra Health2 days ago
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OnsiteFull-timeMid
Summary
Acentra Health is seeking a Resolution & Adjustment Coordinator-SCA to join their team in Tallahassee, FL. The role involves conducting bill-specific research and adjudicating claims accurately and promptly in accordance with OWCP policies.
About the Role
As a Resolution & Adjustment Coordinator-SCA, you will independently resolve suspended claims, apply dispositions to override edits, review and analyze claims for accuracy, maintain workflow consistency, and adhere to operational procedures. You will also research medical bill data issues, process paper and electronic bills, and ensure compliance with corporate policies including HIPAA.
About You
Required:
- Possess a high school diploma or GED.
- 3+ years of experience conducting research to resolve medical billing issues.
- Demonstrated knowledge of medical terminology, including diagnosis and procedure codes.
- Familiarity with medical billing and claim forms, along with common coding schemes (certification preferred).
- Ability to efficiently navigate and operate multiple computer claims systems and software platforms simultaneously.
Preferred:
- Knowledge of claims review and analysis.
- Strong computer skills (MS Word and Excel).
- Excellent oral/written communication and organizational skills.
- Ability to prioritize and manage time effectively.
Benefits
- Comprehensive health plans.
- Paid time off.
- Retirement savings.
- Corporate wellness.
- Educational assistance.
- Corporate discounts.
Acentra Health
Acentra Health, formed in 2023 by the merger of industry leaders CNSI and Kepro, combines public sector knowledge, clinical expertise, and technological ingenuity to modernize the healthcare experience for state and federal partners and their priority populations. From designing and developing advanced claims, encounter, and provider solutions that drive efficiency and cost savings to delivering clinically focused service models for care management and quality oversight, Acentra Health is accelerating better outcomes. Acentra Health is backed by Carlyle (NASDAQ: CG), a global investment firm.
Tallahassee, FL