Reimbursement Specialist
$26 - $30 per hourBMR Partners Inc
Job Type
Full-time
Please be aware that this position requires full-time, in-office work.
Duties and Responsibilities
- Follows appropriate payer requirements, policies and procedures when billing for products, care and services.
- Will always maintain the confidentiality of patients/customers and their personal information.
- Responsible for timely and accurate claim submission to all payers.
- Performs billing, collection, scanning, filing and audit functions as needed.
- Ensure timely follow-up of assigned accounts and escalate issues to Supervisor/Director as needed.
- Notifies the appropriate person/department when missing data or documentation is not able to be obtained and is delaying the billing function.
- Monitors account receivable balances in CPR+ ensure AR is accurately notated and follow up date scheduled.
- Answer phone lines in a timely manner, responding appropriately to questions and information received.
- Handles faxes as appropriate and as applicable.
- Backup as needed for Patient Services.
- Participate in surveys conducted by authorized inspection agencies.
- Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
- Participate in pharmacy committees when requested.
- Participate in in-service education programs provided by the pharmacy.
- Report any misconduct, suspicious or unethical activities to the Compliance Officer.
- Respond to payer pre and post payments audits timely. Work closely with Compliance to ensure proper information is sent.
- Perform other duties as assigned by Supervisor.
- Monday through Friday 8:30 am to 5:00 pm
- Minimum two years' experience in the Reimbursement field.
- Minimum two years' experiences in Collections, required.
- Knowledge of the terms and understanding associated with day-to-day functions of a reimbursement specialist.
- Must be able to multi-task, prioritize and be detail oriented.
- Must be able to work independently and be willing to assist in other areas of the department as needed.
- Knowledge of insurance and specialized functions of billing and reimbursement, required.
- Must possess excellent oral and written communication skills, with the ability to express technical issues in "layman" terms.
- Fluency in a second language is a plus.
- Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
- Organizational skills sufficient to maintain consistently accurate records.
- Open to possible overtime due to department demands.
- High School Diploma or Graduation Equivalent Diploma (G.E.D)
- Prior experience in a pharmacy or home health company.
$26.00 to $30.00 per hour
Vacancy posted 3 days ago
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