Reimbursement Specialist

Job Description

Job Description

The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers. Hospice or Part A experience is helpful. Commercial payer experience is a must. Candidates should have strong critical thinking skills, excellent follow-up abilities, and hands-on experience working with clearinghouses and commercial payers. 

$25hr

8 hour days 40 hr a week

Job Responsibilities:

-Accurately perform mathematical computations and audit data to detect errors.

-Continuously works with rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Insurance providers.

-Properly document accounts clearly and status activity.

Requirements

Minimum of one (1) year of current applicable experience.

-Ability to work well within a team environment and manage assigned tasks independently.

-Strong interpersonal, communication, and customer service skills.

-Knowledge and familiarity with medical terminology. -Strong PC skills, including proficiency in Microsoft Office Suite, database applications, and medical billing applications.

-Ability to keyboard 30 wpm. Preferred Skills & Experience:

-One (1) year of previous home health billing-related experience.

-Experience in collections with Medicaid, Managed Care/Insurance, and Private Payers.

-Wellsky (Kinnser) experience.

Required Education: -High School diploma or GED.

Preferred Education: -Associate’s degree.

Required Certifications & Licensure: -N/A Preferred Certifications & Licensure: -N/A