Reimbursement Specialist

4 Corner Resources is currently seeking a driven Reimbursement Specialist . This would be a 3-6 month contract. The ideal candidate should have proven experience in Part A billing and a demonstrated dedication to maintaining accuracy, efficiency, and compliance with regulatory standards.

Reimbursement Specialist Job Summary: As a Reimbursement Specialist, you will play a crucial role in ensuring the prompt and precise processing of billing and accounts receivable responsibilities while upholding the core values and mission of our hospice organization. Hours: Monday to Friday, 8:30 am – 5:00 pm Location:

Sarasota, FL 34238 Reimbursement Specialist Key Responsibilities: Promote and embody the values and mission of the hospice organization, consistently adhering to all organizational policies and procedures. Prepare, meticulously review, and submit monthly billings following established protocols, meticulously cross-referencing bills with census data to identify any discrepancies and ensure the correctness of patient billing revenues.

Record all incoming payments, conduct thorough monthly reconciliations of cash receipts, and maintain detailed records and reports of accounts receivable. Review and rectify any errors in accounts receivable bills/records prior to transmission or mailing to ensure the accuracy of billing processes. Proactively address rejections, denials, and returned claims, conducting comprehensive follow-up procedures to secure payments from Medicare/Medicaid and insurance providers.

Conduct regular billing audits to ensure adherence to regulatory requirements and maintain the precision of billing practices. Respond promptly and effectively to inquiries from insurance sources and Case Managers regarding patient status or obtaining updated authorizations. Collaborate closely with relevant departments and personnel to obtain necessary information for billing purposes, ensuring seamless coordination of patient care.

Liaise with the Medical Records department as required to obtain vital information and records for billing purposes. Coordinate the compilation and submission of necessary information for Medicaid and Medicaid managed care providers, including securing any required authorizations. Facilitate communication with Long Term Care (LTC) facilities concerning patient responsibility and notification of Tidewell Hospice (or affiliate) Admission.

Continuously seek opportunities to streamline processes, maintain high standards of quality, and deliver exceptional customer service. Reimbursement Specialist Qualifications: Previous experience in healthcare billing, with specific expertise in Part A billing preferred.

Proficiency in utilizing billing software/systems and Microsoft Office applications, particularly Excel. Strong attention to detail and a commitment to accuracy in data entry and record-keeping. Excellent communication skills, both verbal and written, with the ability to effectively engage with internal and external stakeholders.

Demonstrated ability to prioritize tasks efficiently and work autonomously with minimal supervision. Knowledge of Medicare/Medicaid regulations and insurance billing practices is advantageous. Commitment to maintaining confidentiality and upholding ethical standards in all work-related activities.

Education: High school diploma or equivalent is required. Pay Rate: $19-$23/HR 4CR3