Job Description

PCON System Specialist - SMG-1804756

Description

 
Description
As a PCON System Specialist, you will process accounts with the goal of complete accuracy with every encounter. PCON System Specialists work to facilitate payment resolution through attention to detail, problem solving initiative and dedication to the success of the Business Office team.
Key Responsibilities
Maintains the PCON System (Pathways Contract Management) to ensure correct reimbursement from payers
Review payments, perform audits, adjust accounts and handle appeal processes
Completes assigned variance reports, iPlan changes and adjustments
Coordinates with other departments to resolve customer and payer issues
Identify and prevent risk and adjustment related loss to the management
Demonstrate the ability to escalate problem accounts to management as required by circumstances
Completes assigned training and education
Performs other duties as assigned

Qualifications

 
Minimum Requirements:
High School diploma or GED equivalent
Demonstrated ability to communicate effectively on the phone, in writing and via email
Ability to exercise discretion on sensitive and confidential matters
Demonstrated computer skills with data entry software
Ability to apply mathematical concepts and calculations
Strong oral, written and interpersonal skills and strong customer-service skills, including courteous telephone etiquette
Ability to interpret policies and procedures and communicate effectively
Ability to make decisions and exercise good judgment in a complex and rapidly changing environment
Ability to work in a team environment
*Institutional accreditation and degree obtainment will be verified upon hire.
Preferred Qualifications:
One year customer service call center experience or 1 year customer service experience preferably in the medical field, insurance, banking, hospital medical office or other experience with extensive customer service contact
Knowledge of medical terminology, insurance billing and reimbursement, and coding
30 wpm keyboarding skills with 95% accuracy
 
Physical Requirements:
Standing, sitting, walking, speaking, listening, bending, reaching, pushing, pulling, lifting, grasping and manipulating tools, typing, using peripheral computer tools.

Please Note
:
All positions subject to close without notice

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

Job

 PCON System Specialist

Primary Location

 Utah-South Jordan

Organization

 Physician Group of Utah

Education Level

 High School Diploma/GED

Job Posting

 

Employee Status* Full Time Benefit Eligible 36-40 hrs/wk
Work Schedule* Days

Application Instructions

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