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Healthcare Insurance TPL Representative

Date:  Jan 5, 2022

Madison, WI, US, 53784-0001

Req ID:  6709


Job Description

Healthcare Insurance TPL Representative
The incumbent will work as part of a ten-member TPL (Third Party Liability) Operations Team and receive training on execution of processes and procedures within any/all of the four functional areas:  IBB, PBB, HIPP and TPL Insurance. 
o    Activities include (but not limited to): Insurance Disclosures, Manual Updates, Verification Letters, CTN processing, Check Dispositions, Denials and Double Dip processing, A/R and Claims Dis-positioning
o    Insurance On-boarding
o    Employee Initiated Adjustments
o    Mismatches and ADAP/ACH Confirmations
o    Understanding in dealing with insurance billing and coverage
o    Ability for creative problem solving with billing issues
Education and Experience
o    High school diploma
o    1-2 years of equivalent industry experience
o    Background with Insurance and/or Provider based billing
o    The incumbent will be expected to have an eye for detail, be self-motivated, use time-management skills
o    Ability to utilize effective communication (verbal and electronic) and computer skills
o    Microsoft Office (Word, Excel, Outlook, and Internet) 

Job Description


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