Provides claim variance processing support to the Work Variance Team for government, Direct Contracts and commercial carriers. Performs telephone variance review, variance status checks, on-line data entry, submission of medical records and other information as instructed per carrier requests. Sorts, photocopies and mails variance resubmissions and assists with special projects as requested.
Education: High School diploma with business related background, including computers. Satisfactory completion of CPT and ICD-9 coding classes in accordance with Marshfield Clinic criteria is required within one year of hire. Continuing education and developing addition skills via HRD seminars and classes are essential. (Education qualifications must be from a school whose accreditation is recognized by Marshfield Clinic.)
Experience: One to two years business experience in an business office preferred.
Exclusion from Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Clinic’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic - 23 months ago