Reimbursement Specialist II

Responsibilities

• Works aged accounts 30-120 day, processes appeals or corrected claims, researches and reconciles credit balance accounts, and processes adjustments as needed.
• Interacts with patients, clinicians, insurers, Reimbursement Supervisor and Billing management to ensure timely collection of accounts.
• Participates in the Quality Assurance plan.
• Complies with applicable CLIA and HIPAA regulations.

Qualifications

• High school diploma of GED equivalent required
• 3-5 years of experience working in medical billing, health insurance or collections with demonstrated results.
• Insurance billing experience is preferred.
• Good problem solving and decision making skills.
• Time management skills a must.
• Excellent customer service and phone skills.
• Excellent organizational, communication, multitasking, and teamwork skills.
• Working knowledge of ICD-10, CPT and HCPCS coding (preferred but not required).

Physical & Lifting Requirements

• Lifting Requirements - light work or exerting up to 20 pounds of force frequently.
• Physical Requirements - stationary positioning, moving, operating, ascending/descending, communicating and observing.

• Use of equipment and tools necessary to perform essential job functions.

#LI-MH1

#LI-remote