Reimbursement Specialist Mon - Fri - 8am - 4:30pm (Pacific Time)
About The Position
The Reimbursement Specialist is responsible for complete, timely, and accurate follow-up and collections on submitted claims to clients, commercial/government payers, and patients, to optimize overall reimbursement. Responsible for researching denials and rejections, settling payer issues, documenting account activity, posting adjustments, and demonstrating proficiency with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing and adjudication of claims. Responsible for identifying and reporting collection trends and/or issues resulting in delayed claims processing. Interacts with clients, insurance companies, patients, third-party payers, and company stakeholders, as necessary, to resolve account balances and provide the highest level of customer service. Maintain current on all private and government payer billing regulations and policies.
Requirements
- Minimum 3 years of collections experience in the healthcare industry (preferably in a clinical laboratory setting).
- High level of accuracy, attention to detail, ability to prioritize and meet defined deadlines.
Nice To Haves
- Experience working out-of-network appeals is a plus.
- Proficiency in the XIFIN system is preferred.
- The ability to organize systematic paper and electronic files.
- The ability to work in a fast-paced team environment is desired.
Responsibilities
- Complete, timely, and accurate follow-up and collections on submitted claims to clients, commercial/government payers, and patients.
- Researching denials and rejections.
- Settling payer issues.
- Documenting account activity.
- Posting adjustments.
- Identifying and reporting collection trends and/or issues resulting in delayed claims processing.
- Interacting with clients, insurance companies, patients, third-party payers, and company stakeholders to resolve account balances and provide customer service.
- Maintaining current knowledge of all private and government payer billing regulations and policies.
Benefits
- Company paid medical, dental, vision and life insurance coverage
- 401(k) with company match
- Generous employee discounts
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
