Description

Reports to: Reimbursement Manager

Primary Functions: Under the direction of the Reimbursement Manager, the Reimbursement Specialist is responsible for all patient billing and collections.

Responsibilities:

• Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
• Assist with collections as needed and identified in an overall weekly A/R review done by the Reimbursement Manager
• Assist the Cash Poster as needed and identified by the Reimbursement Manager
• Field and troubleshoot calls from patients regarding benefits, claims and patient balances
• Pro-actively seek resolutions to any billing issues that may arise
• Reporting/Documentation:
• Billing documents as requested
• Claim adjudication
• Collection efforts and resolutions
• Weekly status reports

Requirements

Qualifications:

• 2-3 years of experience in electronic claims submission and medical collections preferred
• Proficiency in basic computer skills
• Strong communication and interpersonal skills
• Ability to work independently with an eye for detail
• Ability to multi-task and manage time effectively
• Working knowledge of insurance plans including but not limited to Medicare and Medicaid preferred
• Familiarity with medical terminology preferred
• General knowledge of diagnosis, therapies, and services provided
• Industry experience with billing/collections in DME, home infusion and/or enterals preferred
• Accounts receivable and accounting experience preferred

Educational Requirements:

• High School Diploma

Other Requirements:

• Valid driver’s license
• Valid auto insurance

Physical Demands:

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; and reach with hands and arms.

Requires the ability to lift files, open filing cabinets and bend or stand, as necessary. This

position requires the ability to occasionally lift office products and supplies, up to 20 pounds.

This position may require driving up to 2 hours consecutively.

Potential Occupational Safety/Health Hazards:

• Vehicle hazards
• Office hazards
• Personal safety hazards
• Warehouse hazards