Reimbursement Specialist

$20 - $22 per hour

Partners Personnel Management

3-5+ years of experience understanding Medicare/Medicaid requirements
Pay Range: $20-$22/hr
(Please do not promise or post pay rates on job advertisements.)
Role Responsibilities:
Submit CMS-1500 claims for custom orthotics, prosthetics, and durable
medical equipment (DME), utilizing specific HCPCS codes/modifiers.
Investigate denied claims, analyze denial trends and prepare appeals
backed by clinical documentation
Ensure compliance with Medicare's Local Coverage Determinations
(LCDs), National Coverage Determinations (NCDs), and prior authorization

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Vacancy posted 1 day ago

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