Reimbursement Specialist

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 / Full-time (Remote Position)

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

Working conditions: 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. While performing the duties of this job, the employee is regularly required to sit, talk, hear; use hands to finger, and handle controls. The employee frequently is required to reach with hands and arms. The employee is occasionally required to stand, walk, and stoop. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Environment: Moderate noise level similar to a typical office environment with computers, printers, and work activity.

To apply via text, text 5794 to 334-518-4376

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