POSITION SUMMARY. To perform this job successfully, and individual must be able to perform the essential functions of this position satisfactorily but are not necessarily limited to the following. Research claims denials and completes adjustments accurately and timely. Verifies that payments received are correct. Follows up on reimbursement and appeals in an efficient timely manner. Efficiently utilizes all functions of the company’s software app...
Position Summary. The role of the Medical Reimbursement Specialist reports to the Director of Billing & Admissions, in partnership with the Dialysis CEO/Administrator. This position is responsible for for analyzing insurance documents, processing reimbursement claims, and releasing accurate billing statements for insurance claims. This position must possess excellent analytical skills, especially on performing clerical tasks to evaluate insurance...
Job Description. Scope of Work. DSS is seeking a qualified individual for the review, analysis, and implementation of changes to Medicaid hospital policies and reimbursement methodologies. The intent of the work is to explore the modernization of Medicaid’s hospital reimbursement methodologies including potentially transitioning hospitals to APR-DRG and more widespread reimbursement of outpatient hospitals through the APC methodology. The qualifi...
HealthDrive is seeking a dedicated Medical Reimbursement Specialist in our corporate office in Framingham, MA. The Medical Reimbursement Specialist is responsible for daily follow-up on large volumes of unpaid/partially paid or denied claims for Optometry, Podiatry, Audiology, and Dental services from insurance plans in 17 states. We are conveniently located off Route 9, close to routes 90 and 495 in Framingham, MA, in a spacious modern office wi...
Nemours is seeking Reimbursement Specialist (Full-Time), to join our team in Jacksonville, Florida. This position is responsible for effective follow up on accounts / invoices for assigned Payors resulting in payment or final adjustment. Proficiency in assigned Payors billing and payment guidelines is required, to ensure the departmental collection goals are met or exceeded as. Work accounts / invoices until all charges are paid or denied by the ...
Medical Reimbursement Specialist – Hybrid schedule. Ready to work for a rapidly growing Revenue Cycle Management company. speroMD is a physician-owned Revenue Cycle company made up of individuals who are dedicated to providing the highest quality revenue cycle services to clients across the country. This exclusive company provides employees with growth opportunities, and the ability to support multiple medical specialties. The Medical Reimburseme...
