2 jobs found in Glen Allen, VA

The Telehealth Billing agent processes medical bills for ancillary healthcare services including: Physical Therapy, Diagnostic Imaging, Medical Equipment, Home Health Care, Telemedicine, State Forms, and more. Success in this role requires consistent attention to detail, working in a high production environment, while reviewing appointment notes, claim forms, and treatment authorizations. The Telehealth Billing agent follows departmental best practices while applying strong data-entry skills to ensure accurate and expedient processing of provider payments and client invoicing. This is a remote role. This role is part time, Monday - Friday working 20 hours per week. ESSENTIAL DUTIES & RESPONSIBILITIES: Review information regarding medical notes, claim forms, treatment approval, etc., to verify services align with correct diagnosis, provider recommendations and authorizations Review client guidelines, network rates, and departmental best practices to ensure each...

Company Details   BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.”   Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers’ compensation claims of moderate complexity in multiple jurisdictions. Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due Calculate and set timely financial reserves and proactively manages reserve adequacy throughout claim lifecycle Record and code injured worker demographics, job information and accident information in company’s claims management system and files necessary forms with state regulatory agencies Issue timely payments to injured...