Lead Reimbursement Specialist -901
About The Position
The Lead Reimbursement Specialist is responsible for all revenue cycle functions for assigned fee for service/third party facilities, including insurance verification, census, authorization management, billing, collections, cash posting, collections, denials, appeals and write offs/refunds. Additionally, the Lead Reimbursement Specialist serves as the main help contact for the Reimbursement Specialists in their group. Including providing support during contract/payer changes, trains new staff and reviews work of new staff. Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business.
Requirements
- Six (6) years of full cycle revenue cycle experience and extensive knowledge of Medicare, Medi-Cal/Medicaid and commercial insurances
- A high level of PC literacy, especially in Excel and Word
- Prior experience training staff, using exceptional communication skills
- Critical thinking and data validation skills are mandatory
- Ability to identify and escalate issues and conflicts to management timely
- Understanding of accounting principles and the ability to balance detailed accounts to the general ledger
- The ability to operate independently, handle multiple tasks simultaneously and complete assignments with minimal supervision.
- Demonstrated capacity to work with sophisticated automated billing systems
- Must be at least 18 years of age
- All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply
Responsibilities
- Responsible for all revenue cycle functions for assigned fee for service/third party facilities, including insurance verification, census, authorization management, billing, collections, cash posting, collections, denials, appeals and write offs/refunds.
- Serves as the main help contact for the Reimbursement Specialists in their group.
- Providing support during contract/payer changes
- Trains new staff and reviews work of new staff.
- Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare.
- Travel to locations where Telecare does business or plans to do business.
Benefits
- Paid Time Off and Sick Leave: For Full-Time Employees
- Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift).⯠Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift)
- Free CEUs, free Supervision for BBS Associate License, coaching, and mentorship
- Online University Tuition Discount and Company Scholarships
- Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
