Senior Billing Coordinator

Senior Billing Coordinator

  • Location ROGERS, AR
  • Career Area Administrative and Support Services
  • Job Function Administrative and Support Services
  • Employment Type Full Time
  • Position Type Hourly
  • Requisition 1205188BR

What you'll do at

Assists in contract management by ensuring inclusion of business requirements in contract language; reviewing medical provider and Preferred
Provider Organization (PPO) contract terms; partnering with management and Legal Department for preparation of contract; escalating contracts to
upper management for final approval; and sending notifications to vendors to extend or condense service areas included in the contracts.
Completes work assignments and priorities in Electronic Data Interface (EDI) - Preferred Provider Organization (PPO) Support area by using policies,
data, and resources; collaborating with managers, co-workers, customers, and other business partners; identifying priorities, deadlines, and
expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement
opportunities; and adapting to and learning from change, difficulties, and feedback.
Manages Preferred Provider Organizations (PPOs) by researching and benchmarking potential provider networks; analyzing projected savings of
networks; investigating and determining reasons behind contract disputes; identifying trends; communicating errors impacting quality and payment to
reduce future errors; resolving provider issues; researching and resolving provider fee disputes with state workers' compensation commissions;
evaluating individual provider usage falling outside the PPO network; working with Workers' Compensation teams and PPOs to recruit providers into
the PPO; and recommending PPO network changes.
Ensures Preferred Provider Organization (PPO) compliance by investigating disputes; communicating resolutions back to the Bill Review team and
the provider; evaluating network performance and bill turn time for each state; reviewing bills pended to the PPO network beyond set criteria;
researching reasons for network re-pricing delays; ensuring pended bills are returned in time to be paid within the state's compliance requirements;
notifying team leaders of trends noticed while working PPO disputes; and escalating legal and service issues to management.
Ensures quality customer service by providing responses to Bill Review teams regarding Preferred Provider Organization (PPO) dispute questions;
scheduling vendor presentations or meetings; providing PPO comparisons to individual teams; updating and distributing network

Preferred Qualifications

1 Year General Customer Service Experience
1 year insurance industry or claims experience
1 year experience in any medical related field

About Walmart

At Walmart, we help people save money so they can live better. This mission serves as the foundation for every decision we make, from responsible sourcing to sustainability—and everything in between. As a Walmart associate, you will play an integral role in shaping the future of retail, tech, merchandising, finance and hundreds of other industries—all while affecting the lives of millions of customers all over the world. Here, your work makes an impact every day. What are you waiting for?

All the benefits you need for you and your family

  • Multiple health plan options
  • Vision & dental plans for you & dependents
  • Associate discounts in-store and online
  • Financial benefits including 401(k), stock purchase plans and more
  • Education assistance for Associate and dependents

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