Reimbursement Specialist - Remote

  • Addus Homecare
  • Downers Grove, Il, United States
  • Full Time

> We offer our team the best <<

  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts

Addus is searching for a Reimbursement Specialist to join our team. The Reimbursement Specialist will be responsible for billing and revenue cycle support thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.

Schedule: Remote - Monday thru Friday 40 hours per week plus some overtime.

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
  • Understanding of the requirements of Medicaid, Medicare and Insurance billing is preferred
  • Maintains positive internal and external customer service relationships

To apply via text, text 6729 to 334-518-4376

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