>> We offer our team the best <<
- Medical, Dental and Vision Benefits
- Continued Education
- PTO Plan
- Retirement Planning
- Life Insurance
- Employee discounts
Position Summary: The Reimbursement Specialist will be responsible for billing and revenue cycle management thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.
Schedule: Monday-Friday 8am to 5pm (Remote)
Essential Duties:
- Accurately interprets patient insurance, prescription and other health-related documentation
- Conducts medical insurance verifications and investigations for commercial and government payors
- Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
- Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
- Reviews all claims for compliance and completeness for claims submissions.
- Researches available alternative funding options to reduce patient’s financial burden
- Handles high call volumes
- Communicates with internal and external departments to facilitate coordination of care
- Maintains a high degree of confidentiality at all times due to access to sensitive information
- Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
- Follows all Medicare, Medicaid, and HIPAA regulations and requirements
- Abides by all regulations, policies, procedures and standards
- Performs other duties as assigned
Position Requirements & Competencies:
- High school diploma or equivalent is required; Undergraduate degree is preferred
- Experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment is preferred
- Possess quick and accurate Alpha/numeric data entry skills
- Computer proficiency – MS Office and Web-enabled applications strongly preferred
- Customer service skills required.
- Understanding of the requirements of Medicaid, Medicare and Insurance billing is preferred
- Maintains positive internal and external customer service relationships
- Maintains open lines of communication
- Plans and organizes work effectively and ensures its completion
- Meets all productivity requirements
- Demonstrates team behavior and promotes a team-oriented environment
- Actively participates in Continuous Quality Improvement
- Represents the organization professionally at all times
- Self-starter with exceptional organizational and follow-through skills
- Excellent verbal and written communication skills
- Ability to work independently and in a team environment
To apply via text, text 6619 to 334-518-4376
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