Reimbursement Coordinator
About The Position
The Reimbursement Coordinator is responsible for managing accounts receivables for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services divisions. This includes accurate processing of third party payments, third party denial/appeals processing and maximizing third party reimbursement and third party billing. This position will review all claims processed to ensure that claims are paid in accordance with all third party contracts. This position will serve as the subject matter expert for reimbursement related inquiries related to these programs. This position is under the supervision of the Reimbursement Team Lead. This position will be based in Rosenberg with work hours of Monday through Friday from 8:00AM to 5:00PM. Responsible and accountable for the adherence to and promotion of the compliance policy.
Requirements
- High School Diploma/GED
- Experience with patient account management in an Electronic Health Record
- Five years of experience in a medical or behavioral setting working with Medicare, Medicaid and/or private insurance
- Ability to verify insurance, collections, billing of claims and posting of payments for large health plans
- Detailed and organized
Nice To Haves
- Associates Degree- Healthcare supplement by 5 years’ experience in a medical or behavioral setting.
- Experience with the Netsmart Electronic Health Record, specifically MyAvatar
- Appealed denials of claims for large health plans
- Billed large volume of claims electronically and provide quality review
- Working knowledge of provider contracts and credentialing
- Posted payments to client accounts
Responsibilities
- Managing accounts receivables for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services divisions.
- Accurate processing of third party payments.
- Third party denial/appeals processing.
- Maximizing third party reimbursement and third party billing.
- Review all claims processed to ensure that claims are paid in accordance with all third party contracts.
- Serve as the subject matter expert for reimbursement related inquiries related to these programs.
- Adherence to and promotion of the compliance policy.
Benefits
- Reimbursement for tuition
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
