Job Description

Overview

A Reimbursement Specialist is a medical professional responsible for managing the administrative responsibilities of billing insurance and processing payments for clients. A Reimbursement Specialist handles Accounts Receivable, corrects and resubmits claims, and communicates with patients about outstanding balances to ensure procedures are paid by their insurance company. They should be experienced with billing software and medical insurance policies.

Responsibilities

• Provide excellent customer service to patients, office staff, and providers
• Confirm patient benefits and insurance eligibility
• Follow and adhere to all regulations and guidelines set by state programs
• Review charges prior to submission
• Review clearinghouse rejection reports, correct errors, and resubmit
• Interpret diagnostic and procedural terms used by healthcare providers and code them accordingly
• Translate information into coded form by locating codes using coding manuals or software
• Maintain in-depth knowledge of CPT, ICD-10, and HCPCS coding
• Transfer insurance claims and billing data to billing software
• Update billing software with rate changes
• Create paper and electronic claims for transmission
• Follow up on late payments and issue late payment notices
• Monitor and resolve financial discrepancies
• Run weekly accounts reports and keep information accurate
• Verify all claims and ensure edits are resolved in a timely fashion
• Run reports on denials and correct to resubmit claims
• Examine patient bills for accuracy and request any missing information
• Contact patients with unpaid medical bills and negotiate payment plans or settlements
• Respond to inquiries regarding billing and account matters
• Maintain strict confidentiality of all client information and adhere to HIPAA guidelines
• Other duties as assigned

Qualifications and Skills

• Knowledge of business and accounting, or Health Care Administration; Billing and Coding Certification preferred
• Minimum of 2 years of experience as a medical biller or similar role
• Solid understanding of billing software and electronic medical records
• Ability to multitask and manage time effectively
• Excellent written and verbal communication skills
• Strong problem-solving and organizational abilities
• Competitive salary based on experience
• Comprehensive benefits package, including health, dental, and vision insurance
• Paid time off and professional development opportunities

Join us in making a difference in our patients' lives by providing exceptional care coordination!

Job details

• Job Types: Full-time
• Pay: $18.00 - $20.00 per hour
• Expected hours: 40+ hours per week

Benefits

• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance
• 401K

Schedule

• Monday - Friday

People with a criminal record are encouraged to apply

Disclaimer: This description indicates, in general terms, the type and level of work performed and responsibilities held. Duties described are not to be interpreted as all-inclusive or specific to any individual team member.

No Third Party Agencies or Submissions Will Be Accepted.

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to determine applicant suitability. By your submission you agree to all terms herein.

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