Reimbursement Coordinator
About The Position
The Reimbursement Coordinator is responsible for supporting daily functions within the Reimbursement Department, ensuring accurate billing and collections of claims. This role primarily focuses on building strong relationships with individual insurers to process denials and appeals in a timely fashion, thereby reducing the number of days in Accounts Receivable. The coordinator will identify insurance denials eligible for resubmission, determine services to be billed to self-pay, and maintain appropriate interaction with insurance companies, clients, and other Spectrum departments. Responsibilities include identifying insurance company errors for resubmission, following up on delinquent accounts, and interacting with Patient Accounts and the Referral Coordinator to ensure accurate coding of clinic services.
Requirements
- High school graduate or equivalent education level required.
- Previous medical billing experience required.
- Denial analysis experience.
- Strong phone skills required.
- Must have ability to multi-task and organize work and priorities.
- Must be able to function as part of a team as well as independently.
Nice To Haves
- Strong knowledge of CPT, ICD-9 and HCPC coding preferred.
- Excel spreadsheet experience is a plus.
Responsibilities
- Supporting daily functions within the Reimbursement Department ensuring accurate billing and collections of claims.
- Concentrating primarily on building a strong and productive relationship with individual insurers in an effort to process denials and appeals in a timely fashion while reducing number of days in A/R.
- Identifying insurance denials eligible for resubmission
- Determining services to be billed to self-pay
- Maintaining appropriate interaction with insurance companies, clients and other Spectrum departments
- Identifying insurance company errors for resubmission
- Following up of delinquent accounts
- Interacting with Patient Accounts and Referral Coordinator
- Verifying accurate coding of clinic services
Benefits
- Health, dental, vision insurance/additional voluntary insurances
- Company-paid life insurance/employee assistance programs
- Generous paid time off accrual
- Tuition reimbursement/loan repayment options
- 401k with company match up to 7%
- Discounts on wide array of services/entertainment nationwide
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
