Reimbursement Specialist
New
This position is fully remote and open to candidates within the United States., Mon - Fri, 630am or 7am start time - 3pm PSTFull-TimeMiddle
Salary23 - 25 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 2+ years
- Required Skills
- MS OfficeCRMHIPAA
Requirements
- BA/BS or equivalent combination of education and applicable job experience.
- 2+ years of experience in medical billing or equivalent experience.
- Experience in a HIPAA controlled environment.
- Understanding of medical billing, insurance claim processing, and follow up procedures.
- Understanding of all data required on a Health Care Financing Administration (HCFA) 1500 billing form.
- Knowledge of billing codes and modifiers assigned by the Centers for Medicare and Medicaid Services (CMS).
- Ability to understand Explanation of Benefits provided by health care providers.
- Knowledge of claims clearing houses and the basic functionality of these services.
- Effective verbal and written communication skills.
- Experience with MS Office suite (Word, Excel, and Outlook) and CRM systems.
Responsibilities
- Assure all insurance claims are processed timely, accurately, and efficiently.
- Secure payments from both contracted and non-contracted insurance entities as well as customers.
- Review medical criteria to assure patient documentation meets standards.
- Carefully review all patient related data and documentation for accuracy prior to claim submission.
- Create and submit healthcare claims to insurance companies.
- Communicate with patients to advise on status of insurance claims and collect outstanding invoices.
- Field inbound calls from patients regarding insurance claims.
- Make outbound investigational calls to insurance providers to determine status of outstanding claims.
- Negotiate structured payment plans.
- Access CRM to receive and provide up to date patient claim information.
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