Reimbursement Specialist

About this role

Requirements

• High School Diploma or equivalent
• 2-3 years of experience in electronic claims submission and medical collections preferred
• Working knowledge of insurance plans including Medicare and Medicaid required
• Industry experience with billing/collections in DME, home infusion, and/or enteral preferred
• Accounts receivable and accounting experience preferred
• Knowledge of CPR+ and/or Caretend software preferred

Responsibilities

• Collections of third-party payor accounts for assigned payers
• Ensure proper follow-up on all aspects of the revenue cycle related to reimbursement, including denials management and research
• Maintain and update shared documentation to assist the Intake Team with insurance plan policies, rules, and limitations
• Identify adjustments, payment trends, and denials, and escalate problems as necessary
• Maintain confidentiality in all aspects of patient care, employee activities, and office environment
• Field and troubleshoot calls from patients regarding benefits, claims, and patient balances
• Proactively seek resolutions to any billing issues that may arise
• Perform CPR+/Caretend related transactions accurately and timely

Benefits

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO including Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance with optional enhancements
• Employee Assistance Program with free counseling and coaching sessions
• Short & Long-Term Disability, company-paid with optional supplements
• FSA and HSA for managing healthcare expenses
• Commuter Spending Programs