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Reimbursement

Plano, Texas | Contract To Hire

Post Date: 06/06/2017 Job ID: 4312 Industry: Other Area(s)

The Reimbursement Specialists’ role is to file insurance claims and appeals on assigned accounts in a timely and accurate manner.

KEY ACCOUNTABILITIES/ESSENTIAL FUNCTIONS
  • Responsible for all collection activities on identified accounts
  • Understands medical billing requirements for Medicare, Medicaid, contracted and commercial payers
  • Monitors all contracts and single patient agreements to ensure that appropriate reimbursement is received
  • Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment
  • Processes a minimum of 30-50 transactions on a daily basis
  • Timely process appeals on identified accounts
  • Answers patient and facility calls professionally and pleasantly
  • Regular attendance and timeliness
  • Follow HIPAA protocols

SKILLS AND ABILITIES
  • Excellent computer skills (Microsoft Office Suite)
  • Ability to type a minimum of 50 wpm with no errors
  • Ability to work independently
  • Ability to multi-task
  • Possess strong and effective customer service skills telephonically to include proper grammar with a positive and friendly demeanor
  • Absolute attention to detail
  • Display excellent judgment at all times

EDUCATION AND/OR EXPERIENCE:
  • High school diploma or GED required
  • Minimum of two years’ experience in health/medical billing and collections

WORK ENVIRONMENT: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

PHYSICAL REQUIREMENTS: 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 talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; lift up to 25 lbs.; and reach with hands and arms.

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