Location: Dallas, TX, USA• Tampa, FL, USA• Miami, FL, USA• Florida, USA• Texas, USA• Houston, TX, USA
Req Number: Req #1464
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
Paradigm is seeking a full-time, remote Billing Associate to assist in the management of provider requests for additional reimbursement by performing data entry into company software and perform an initial assessment to prepare the request for the Bill Review Team. The role involves communicating with providers regarding requests for additional funds, telephonically and in writing.
What you will do:
- Read, interpret, and enter reconsideration information into Paradigm's systems accurately.
- Enter specific items from claim documents including but not limited to: UB-04, HCFA 1500, Superbill, Manufacturer Invoices, Implant Logs, and Operative Reports.
- Identify any inconsistencies in documentation for proper evaluation.
- Review and interpret reconsideration documentation to determine if further bill review of the claim is required.
- Accurately complete reconsiderations in Paradigm’s systems, when appropriate.
- Communicate with other Paradigm’s employees with regards to reconsiderations.
- Communicate with providers, provider's billers, and attorneys regarding reconsiderations.
- Understand and comply with all IT Security requirements necessary in working with designated PHI and/or ePHI.
Candidates should have:
- Associate degree or equivalent number of years' experience.
- Experience with MS Office and Computer Application Systems required.
- Customer service experience in a call center or production client interfacing setting.
- Experience in medical billing, terminology and surgical implants.
- Detail-oriented and highly organized with the ability to handle multiple tasks simultaneously and meet deadlines.
- Proven critical thinking skills that demonstrate analysis/judgment.
- Sound decision making with focus on attention to detail and quality awareness.
- Excellent Verbal and Written Communication skills.
- Experience with insurance companies or healthcare servicing organizations a plus.
- Minimum typing speed of 45 WPM.
- Occasional evening and weekend work may be required as job duties demand.
- Bilingual (English/Spanish) a plus.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Other details
Equal employment opportunity, including veterans and individuals with disabilities.
PI274374872
