1 benefits account manager jobs found in Suwanee, GA

Description Review, analyze and process basic to complex medical bills for relatedness and appropriateness. (Complexity is based on dollar amount of bill and treatment received/coding used) Applies technical knowledge and judgment to make accurate, timely, and compliant payment decisions while meeting production requirements. Uses advanced data entry skills and multiple applications simultaneously., Responsibilities Audit medical bills for relatedness and appropriateness for WC or Auto claims, using critical thinking skills to make accurate, timely, and compliant payment decisions while meeting production requirements Identifies and resolves discrepancies in transactions/documents reviewed. Refers difficult or questionable transactions to Supervisor for assistance in resolution. Maintains appropriate transaction records and generates activity reports. Provides guidance and assistance to internal customers, providers, claimants, and/or policyholders on...