What are the responsibilities and job description for the Billing Reconciliation and Research Specialist I position at HMSA?
- Research member billing issues and routine group billing issues; effectively communicate (written, telephonically or in person) the outcome of the research and resolution to the issue in a timely manner.
- Ensure appropriate approval levels are satisfied.
- Adhere to all audit and compliance policies and procedures.
- Analyze discrepancy reports as a result of billing or payment application differences between multiple systems.
- Coordinate with other units/departments to resolve the discrepancy.
- Work with other areas as needed for research and resolution.
- Suggest process improvements based on discrepancy identification.
- Provide support to the department as assigned; assisting related efforts to ensure resolution in a timely and accurate manner.
- Learn and develop skills with billing functions to support reduction of team inventories.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
