Retro Billing Associate I

• Reviews bills submitted by payors and channel partners via One Call’s retrospective program
• Follows state and federal guidelines, fee schedules, and customer-specific rules to obtain enhanced savings for clients
• Interacts with Providers and Claim Professionals as necessary to deliver accurate and efficient bill processing
• Communicates timely responses to inquiries from Internal and External customers
• Learns or remains current on billing protocols and regulations, federal and state regulations, and internal procedures that affect processing
• Provides subject matter expertise on billing and coding guidelines and regulations as required by the department
• Uses internal and external billing protocols and regulations for repricing bills at a cost savings to the customer
• Identifies trending opportunities related to policies and procedures to ensure efficiency and accuracy in bill processing
• Reviews, researches, and initiates the resolution of billing errors
• Reviews, researches, and resolves customer-related inquiries
• Develops/maintains process documentation for each assigned task
• Communicates with appropriate internal departments to solve issues and discrepancies
• Performs other related duties as assigned

• High school diploma/GED required
• Knowledge of Billing rules and regulations and federal and state regulations
• Excellent customer service skills
• Effective verbal and written communication skills
• Computer navigation and operation skills
• Detail-oriented with good organizational skills
• Ability to manage multiple tasks
• Ability to work both independently and in a team environment
• Ability to maintain confidentiality
• Proficient with Microsoft Office
• Ability to work in an environment that aligns with the company's diversity, equity, inclusion and belonging standards
• Demonstrate core values of Think Big, Go Fast, Deliver Awe, and Win Together

Typically less than 1 year of experience in an office setting and/or billing experience

• Remote Work
• Generous Time Off: 8 company holidays, 2 personal days, minimum of 18 days of paid time off
• Comprehensive Benefits Package: medical, dental, vision, and pet insurance
• 401(k) matching program
• company-paid life insurance and short and long-term disability coverage
• Supportive Services: Colleague Assistance Program that provides free counseling and financial services
• One Call Foundation provides colleagues financial assistance during times of unexpected hardships