Reimbursement Specialist

Reimbursement Specialist

Healthcare Provider Solutions is a growing healthcare company providing billing, financial, operational, educational, and clinical consulting to the home care and hospice industries. We are in Nashville, TN near the airport.

Our company is seeking a full-time Reimbursement Specialist to work on our Home Health Non Medicare Posting. The ideal candidate for this job has a minimum of 2 years of experience in Medicare Advantage and Commercial payer posting required.

Responsibilities & Expectations:

• Post Payments received from Non-Medicare and other payers as required.
• Ability to post for multiple clients in multiple EMRs.
• Ability to read insurance contracts and validate payments accordingly.
• Perform write off request as assigned and approved appropriately.
• Ability to post patient payments and generate self pay invoices.
• Ability to identify incorrectly paid and denied claims for the collections team.
• Ability to adapt to change with ease.
• Critical review of all payments received by use of HPS tools.
• Review EOB's to identify payment errors, denials and low reimbursement.
• Perform month end reconciliations
• Run and analyze payment logs for posting accuracy.
• Communication with clients.
• Keeps management informed of changes in billing requirements and denial codes as they pertain to claim processing and coding.
• Participate in meetings with Billing and Collections team as needed and provide input of any payer payment issues identified.
• Fulfill additional performance responsibilities as assigned and necessary
• Willing to adapt and learn other areas within the Revenue Cycle department if needed.

Requirements:

• Must have a minimum of 2 years cash posting experience preferably in Commercial, a Non-Medicare payers.
• Able to identify issues with payer set up and accuracy of tracking appropriate payment expected based on established contracts.
• Ability to utilize Microsoft Office efficiently, including Outlook (email and calendar), and Excel is a must.
• Ability to perform daily, weekly and monthly reconciliations of posting.
• Attention to detail and accuracy a must.
• Familiar with takebacks, offset posting.
• Excellent communication skills, you may be required to communicate with internal teammates and customers.
• Organization skills to track workload.
• Ability to work independently and with a team.
• Identify trends and carrier issues relating to reimbursement.
• Has experience with multiple EMR systems.
• Has experience with obtaining Remits and EOBs in Waystar and other portals.
• Must be able to read, write, and follow directions in English.
• Must have knowledge of basic math skills.
• Knowledge of how to use a phone line system, copier/scanner, fax, and email is a must.
• Must be able to sit for at least eight hours per day and look at a computer screen.
• High School Diploma

Compensation and Benefits

• Hourly, 40 hours per week, full time, non-exempt position, hours are M-F, 8 AM - 4:30 PM CST (30-minute lunch break).
• Paid Time Off (PTO; starts accruing day one and is available for use following probationary period of 60 days)
• Eleven paid holidays off per calendar year, 2 additional floating holidays annually
• Company paid medical and life insurance policy for employee upon eligibility
• Dental, vision, and dependent medical coverage offered to employee, at cost upon eligibility
• Retirement plan with company match available immediately upon hire

Why Healthcare Provider Solutions?

• We believe in working hard for our clients and working even harder to make all employees feel respected and rewarded for their hard work.
• HPS is growing! With that, comes the rewarding challenge of performing at a high level with an emphasis on teamwork.
• The ability to work with a supportive team dedicated to providing excellent service

Healthcare Provider Solutions is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic, information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.