Reimbursement Specialist

Reimbursement Specialist

Performs moderately complex medical billing and account receivable follow up functions. Responsibilities include batch/submit claims to multiple insurance companies and track reimbursement. Enter EOB correspondence, payments, and denials. Re-work rejections, conduct reconsiderations and appeals, submits medical records, and reconcile issues with insurance companies. Monitor dual coverage clients to ensure accurate billing. Runs various reports to monitor claims and accounts receivable. Communicates with peers, consumers and management regarding any insurance or claims issues. Assist and/or serve as backup in any billing area and other duties as requested by supervisor. Works under moderate supervision with considerable latitude for the use of initiative and independent judgment.

Education, Training and Experience

• High School diploma or General Education Degree (GED);
• Two (2) years related experience and/or training, or equivalent combination of education and experience.
• Knowledge of billing and coding requirements, regulations and claims clearinghouse experience is a must.
• Must have reliable transportation and a valid driver's license.

- Preferences: Minimum 3 years billing experience.

Knowledge, Skills, and Abilities

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• Must have good communication skills, be well organized, a self-starter and be able to complete assigned duties in a timely manner.
• Knowledge of MS Word, Excel, medical practice management systems and intermediate computer operational skills is a plus.
• Must have a valid Texas driver's license.