Provider Database Coordinator

Johnson Service Group (JSG) is seeking a Data Entry -Medical Insurance. This is a remote position. Must work Pacific Standard Time Hours.

MUST be located on Pacific Time Zone or Mountain Time Zone.

Monday- Friday - 7 : 00am- 4 : 00pm

Hourly pay : $20.00- $24.00 per hour

Job Description :

The incumbent is responsible for researching and maintaining provider files on the company's Health Claims Processing System (HCPS) for generation of remittance advice, Explanation of Payment (EOP) and Internal Revenue 1099 forms.

QUALIFICATIONS

• High school education or equivalent and two (2) plus years of healthcare coding / billing and / or provider credentialing / eligibility experience or claims processing experience.
• Excellent data entry skills with outstanding manual dexterity.
• Proficient in Microsoft Office (Word, Excel, Outlook).
• Basic ability to navigate basic computer systems and website applications.
• Healthcare knowledge as it relates to provider billing practices for medical and dental.
• Knowledge of medical terminology, claim fields, and the basics of HMO, PPO, EPO, POS, Self-Funded, Large plan products, and State / Federal payers Medicare & Medicaid.
• Basic knowledge of Medicare Fee Schedule and the design, CPT / HCPS service coding, understanding the provider types and their impact on claims and reimbursements.

DUTIES AND RESPONSIBILITIES :

Data Entry and Database Maintenance

Customer Service