Claims Reimbursement Specialist

Medical Associates of NWA•Fayetteville, AR

About The Position

The Claims Reimbursement Representative is responsible for researching and resolving insurance billing issues at the time of claims submission, upon receipt of denial or non-contracted payment, and refund requests assigned to specific insurance(s) and providers/specialties. This role involves daily interaction with insurance companies, clinics, other CBO departments, and MANA administration.

Requirements

Equivalent to four years high school or GED
12 to 18 months related experience with commercial insurance.

Responsibilities

Ensure insurance is set up correctly in the patient's account in ECW.
Respond appropriately to insurance companies' requests for information in a prompt and professional manner.
Initiate adjustments to accounts promptly upon receipt of explanation of benefits.
Demonstrate a thorough knowledge of CPT and ICD coding guidelines, as well as individual insurance carrier policies. Keep up to date on all changes in these areas.
Follow-up on all claim denials and exercise all available options to obtain claim reimbursement. Submit corrected claims promptly.
Scrub and submit Physical Therapy claims to all payers.

Benefits

Medical Insurance
Vision Insurance
Dental Insurance
HSA or FSA options with medical insurance
Voluntary Aflac Accident and Critical Illness
Employer paid life, long-term & short-term disability benefits
401(K) match and profit sharing
Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, UARK Federal Credit Union, and many more!
One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics