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SUMMARY: Under the general supervision of the Director of Business Office Services, the Reimbursement Specialist is responsible for timely billing functions, including posting of charges, electronic and paper insurance billing, and collecting accounts receivables. The Reimbursement Specialist also conducts training, serves as a primary resource for billing system changes, responds to patient inquiries and resolves problems with third party payors.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
OTHER DUTIES:
EDUCATION/QUALIFICATIONS: High school graduate or equivalent. Previous experience in medical billing, coding, collections and training / teaching experience. Must take EPIC training and successfully pass required tests.
KNOWLEDGE/SKILLS/ABILITIES: Knowledge of medical terminology, anatomy and physiology, clinical medicine, diagnostic tests, radiology, pathology, pharmacology, and other medical specialties related to medical oncology/hematology. Extensive knowledge of CPT-4, ICD-9/ ICD-10 CM, and HCPCS coding systems, governmental regulations, protocols and third party requirements, as well as compliance issues related to billing and billing documentation. General knowledge of basic manual and computerized accounting and billing systems. Knowledge of various teaching and training techniques which can be applied in different learning situations. Verbal and written English communication skills. Eye, hand, and auditory coordination. Basic computer skills. Problem solving and prioritization skills. Ability to work independently with minimal supervision and as part of a team; ability to work under pressure with time constraints; ability to meet deadlines and work with frequent interruptions; ability to concentrate, provide close attention to detail, and handle multiple tasks simultaneously. Ability to adapt to an individual’s learning needs and requirements; ability to grasp billing system concepts and clearly explain their application; ability to demonstrate patience and support throughout learning experiences; ability to research and clarify system issues. Ability to maintain professional attitude at all times; ability to handle telephone and face-to-face contact with patients, physicians and other staff. Ability to function in a sometimes demanding and fast-paced work environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes and those who are dying. Understands and practices patient confidentiality. A positive attitude towards health care team members and diverse patient populations.
PHYSICAL REQUIREMENTS OF JOB: Standing, walking, sitting, carrying, pushing, pulling, lifting, bending, stooping, squatting, crouching, twisting, reaching, handling, kneeling, and wrist and digital dexterity. Involves significant degree of data entry. Involves significant degree of sitting, and involves standing or walking for brief periods of time. Speaking, hearing, and visual acuity to communicate with patients, physicians and other health care professionals; use telephone system; and operate office equipment and computers. Exerting force (frequently up to 10 pounds and occasionally up to 20 pounds or more) to lift, carry, push, pull or otherwise move objects, including office supplies, medical charts, billing forms, etc. Limited driving.
MENTAL DEMANDS: Must be able to work under stress and adapt to changing conditions. Must be able to concentrate and focus on details. Must be able to prioritize requirements of the Reimbursement Specialist functions with additional training responsibilities.
WORKING CONDITIONS: Normal medical office environment. Job duties involve minimal potential for exposure to blood and body fluids, chemical disinfectants, and limited exposure to chemicals such as cleaning disinfectants and toners for office equipment.
Other
Ambulatory Healthcare Services
$60k-86k (estimate)
11/18/2022
06/27/2024
cancercarespecialists.org
CENTRALIA, IL
50 - 100
1984
Private
DAVE SMITH
$10M - $50M
Ambulatory Healthcare Services
The job skills required for Reimbursement Specialist (Medical Billing) include Billing, Medical Billing, CPT, Health Care, Problem Solving, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Reimbursement Specialist (Medical Billing). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Reimbursement Specialist (Medical Billing). Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Reimbursement Specialist (Medical Billing) positions, which can be used as a reference in future career path planning. As a Reimbursement Specialist (Medical Billing), it can be promoted into senior positions as a Staff Nurse - RN, Sr. - Medical Management that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Reimbursement Specialist (Medical Billing). You can explore the career advancement for a Reimbursement Specialist (Medical Billing) below and select your interested title to get hiring information.
If you are interested in becoming a Reimbursement Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Reimbursement Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Reimbursement Specialist job description and responsibilities
Reimbursement specialists utilize reference materials and medical coding knowledge to address claims.
04/22/2022: Frankfort, KY
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Reimbursement Specialist jobs
The career path for a reimbursement specialist starts by first obtaining a high school diploma or GED.
05/26/2022: Boca Raton, FL
Educational prerequisites for reimbursement specialists vary, from a minimum of a high school diploma to a bachelor’s degree.
04/27/2022: New York, NY
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