Reimbursement Specialist

Reimbursement Specialist I

Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.

The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and customer service to branch offices regarding billing concerns. Essential duties and responsibilities include:

• Processes and posts revenue, making changes as needed
• Ensures sales have appropriate documentation such as nursing notes, worker timecards, authorization, purchase order, and other payer requirements as appropriate
• Accurately generates claims and/or invoices of sales and bills a variety of payer sources via mail, fax, web portal or electronic clearinghouse
• Researches and follows up on unpaid accounts after expected payment timeframe
• Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment
• Follows all quality processes for department/team to avoid preventable write-offs and improve collections efforts
• Provide great customer service for our office partners, patients, other departments and payers
• Keeps Team Leader informed of problem accounts or potential impacts to cash collections and AR
• Performs other duties as assigned

Minimum requirements:

• High school diploma or equivalent is required; undergraduate degree preferred
• Experience in medical billing, accounts receivables, and/or collections preferred
• Quick and accurate Alpha/numeric data entry skills
• Proficiency in Microsoft Office, including a working knowledge of Microsoft Word and Excel and Web-enabled applications
• Excellent customer service skills
• Exhibit excellent work ethic and commitment to job responsibilities
• Must be a self-starter, with ability to work well as part of a team and independently
• Must present a positive image that reflects well on the organization
• Excellent written and verbal communication skills.

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account, 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and Dismemberment Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Accident Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance, Pet Insurance, MilkStork, Transportation Benefit, Educational Assistance Program, College Partnership Program, Paid Time Off/Company Holidays *Benefit eligibility is dependent on employment status. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. This posting will remain active on job boards for 5 days from date of posting unless there is a good faith basis to extend the posting date. Please note that this pay range represents a good faith estimate of the compensation that will be offered for this position based on the circumstances. The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, experience, and other variable factors. "Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records"