Reimbursement Coordinator II Medicare

Enhabit Home Health & HospiceDallas, TX
Remote

About The Position

Responsible for collecting and managing account payments. Responsible for submitting claims and following up with insurance companies for payment fulfillment. The reimbursement coordinator II non-Medicare is responsible for completing assigned projects and providing training as requested. This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates. AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WY.

Requirements

  • Must have a high school diploma or equivalent
  • Must have two years demonstrated experience with Medicare or related billing functions
  • Must have demonstrated experience in planning and presenting trainings, individual or large group settings.
  • Must have demonstrated experience in project management
  • Required to have and maintain a valid state driver license in the current state of residence
  • Required to have and maintain automobile liability insurance, as required by law
  • Oral communication, written communication, fluency in English, active listening
  • Demontrated intermediate technology skills. Especially Microsoft office, including word and excel.

Nice To Haves

  • For internal applicants, must have met the aging and cash collections goal, as set by the director, for at least nine months in each of the previous two consecutive years. Must have consistently maintained an average of 9%-16% of the billing and collections.
  • Experience within Home Health & Hospice billing and collections is highly preferred

Responsibilities

  • Complete billing tasks daily; ensure minimal write off of reimbursement dollars.
  • Monitor and maintain assigned accounts with a higher productivity expectation.
  • Collect all the necessary information to prepare insurance claims.
  • Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines.
  • Research, correct, and resubmit rejected and denied claims.
  • Prepares appeals to denied claims.
  • Maintain communications with branch staff for assigned accounts; contact the various positions that are holding the issues.
  • Maintain communications with branch leadership for assigned accounts; ensure branch leaders are aware of claims status and the success of team members.
  • Answer questions timely and accurately; from patients, branch staff, and insurance companies.
  • Assist with training of new team members.
  • Provide assistance with escalated questions from other team members.
  • Address and respond to emails that come into the teams inbox.
  • Assist with special projects as assigned.

Benefits

  • Comprehensive insurance plans - medical, dental, and vision
  • Generous paid time off – Up to 30 paid days off per year
  • 401k retirement savings plan with match
  • Basic life insurance at no cost to eligible employees
  • Employee scholarship program
  • Promote-from-within philosophy
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