Reimbursement Associate 163057

Preferred Homecare Phoenix , AZ 85002

Posted 3 weeks ago

The Reimbursement Associate performs accounts receivable functions including qualification of appropriate documentation and billing. Helps ensures compliance with all government, contract, and company policies and regulations.

Essential Duties and Responsibilities include the following.

  • Checks and understand eligibility and verification requirements

  • Reviews claims using basic understanding of insurance coverage and criteria to help determine appropriate steps to submit payable claim

  • Researches overdue accounts and follows up by mail and/or phone to insurance carriers or customers on delinquent payments

  • Reviews denied or unpaid claims to determine proper resolution

  • Resubmits general claims with proper documentation for further carrier review

  • Responds to inquiries regarding account status in a timely manner

  • Understands billing software in order to review customer information and enter data

  • Maintains notes and documents progress appropriately and timely

  • Brings recurring issues to the attention of management

  • Performs other duties as assigned

Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience: High school diploma or GED equivalency. Prefer 3-6 months home health, customer service, call center, insurance, or reimbursement experience. Strong interpersonal, communication, and organizational skills required.

Computer Skills:To perform this job successfully, an individual should have basic computer and typing skills.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must occasionally lift and/or move up to 10 pounds. The employee is frequently required to sit; use hands to fingers, handle, and feel; and talk and hear. The employee is occasionally required to stand and walk.

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Reimbursement Associate 163057

Preferred Homecare