Job Description

>> 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 (Skilled Reimbursement) 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. Must have experience in CPT/HCPCS, Medicare Part B Billing, review claims, submit claims and work clearinghouse responses as well as auth/eligibility.

Schedule : Monday-Friday 8am to 5pm Central Standard Time (Remote)

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
• Medicare Part B billing, HCPCS/CPT codes and well as auth and eligibility and familiar with Waystar or clearinghouse processes/responses
• 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

To apply via text, text 9199 to 334-518-4376

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Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here:

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