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CAS Bill Review Auditor

Heartland Security Insurance Group
  • Tyler, Texas
    7 days ago

    Job Description

    About Us
    About Us
    Claims Administrative Services, Inc (CAS) has served as a third-party administrator handling workers' compensation and property and casualty claims for a wide array of clients since 1990. In addition to our claims experience, CAS offers safety and loss control, cost containment services, and program administration. Every day our experienced professionals are on the job, reducing the frequency and severity of workplace injuries, managing associated claims costs, and helping injured employees return to work. Our personalized customer service combined with dedicated experience, innovation, and cost efficiency, assists our clients in reducing costs and protecting their employees. 
     
    Structure and Ownership
    Heartland Security Insurance Group is the holding company for Claims Administrative Services, Inc. Heartland is comprised of seven different insurance and risk management businesses, providing products and services globally. Each of the companies offer solutions to distinct client groups in the federal, state and private sectors. The organization has been under continuous private family ownership for 50 years. Today, it has over 60 stockholders as well as ESOP ownership. In addition to providing an important retirement benefit to associates, the Employee Stock Ownership Plan (ESOP) assures that everyone in the organization has a vested interest in providing the very highest level of service to the client. 
     
    Commitment to the Community
    Claims Administrative Services, Inc., and the parent organization, Heartland Security Insurance Group, have a long history of philanthropy to the local, national, and international communities. 
     
     
    Bill Review Auditor
    Primary Responsibility
    The Bill Review Auditor is responsible for the adjudication of workers’ compensation medical bills. This position performs administrative and complex clerical work in processing and controlling medical expenses related to Workers’ Compensation.
     
    Essential Functions & Responsibilities
    • Enter pre-coded billing data into system and verify output as it relates to Workers Compensation medical bills. 
    • Check eligibility for payment.
    • Answer verbal and written communication.
    • Interpret and apply company rules and procedures.
    • Other light clerical and administrative duties.
    • Meet or exceed production goal (set based on experience).
    • Maintain an accuracy ratio of at least 98%. 
     
    Required Qualifications
    • 1-2 years of relevant medical billing or coding administrative experience.
    • High school diploma or equivalent.
     
    Preferred Qualifications
    • A college degree or some college preferred.
    Knowledge, Skills & Abilities
    • Must display a working knowledge and understanding of ICD-9, ICD-10, HCPCS, CPT coding, and medical terminology.
    • Must be proficient in MS Word, Excel, and Outlook.
    • Must be proficient in 10 key by touch.
    • Must be able to type minimum 50 wpm.
    • Must be proficient in Microsoft Outlook, Word and Excel.
    • Must possess good oral and written communication skills.
    • Must have strong attention to detail.
    • Ability to work with a team.
    • Ability to work independently.
    • Ability to make prompt decisions.
    • Ability to meet or exceed timed deadlines.
    • Ability to perform fast data entry with a high degree of accuracy.
    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Numbers & Facts

    LocationTyler, Texas
    Websitehttp://www.heartlandsig.com/index.html

    Skills

    • 10-key (Tenkey) Numeric Keypadunmatched
    • Adjudicationunmatched
    • Administrative Skillsunmatched
    • Auditingunmatched
    • Billingunmatched
    • Claims Managementunmatched
    • Communication Skillsunmatched
    • Cost Controlunmatched
    • Current Procedural Terminology (CPT)unmatched
    • Customer Support/Serviceunmatched
    • Data Entryunmatched
    • Detail Orientedunmatched
    • Exceeded Sales Goalunmatched
    • Healthcare Common Procedure Coding System (HCPCS)unmatched
    • High School Diplomaunmatched
    • ICD-10unmatched
    • ICD-9unmatched
    • Insuranceunmatched
    • Medical Billingunmatched
    • Medical Codingunmatched
    • Medical Terminologyunmatched
    • Microsoft Excelunmatched
    • Microsoft Outlookunmatched
    • Microsoft Wordunmatched
    • Presentation/Verbal Skillsunmatched
    • Retirement Planunmatched
    • Risk Managementunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Worker's Compensationunmatched
    • Writing Skillsunmatched

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