REIMBURSEMENT SPECIALIST

Healix Infusion Therapy, LLC•Sugar Land, TX

4d•Remote

About The Position

Healix Infusion Therapy is seeking a Reimbursement Specialist to join our corporate business office team! This role is 100% remote. M-F 8:30am-5:30pm. The Reimbursement Specialist conducts the evaluation, follow-up and resolution of accounts receivables. This includes reviewing aging reports with management to prioritize aged and high dollar claim resolution, analyzing and identifying trends from aging reports that indicate non-payment or slow reimbursement, and investigating and responding to inquiries from payors. The role is responsible for the follow-up of designated accounts, including denied and short paid claims and payment errors, making applicable corrections for proper adjudication and reimbursement. Additionally, the specialist will prepare and submit appeals to overturn payor denials, proactively seek resolution to billing issues, review claim EOBs and correspondence to resolve denials, create Ad hoc reports as needed, and assist with special projects. As part of your job, you will receive protected health information. It is your duty to comply with HIPAA in using and disclosing that protected health information. Ability to remain focused, productive and available during company business hours while working remotely. Maintain and adhere to productivity standards by providing updates of daily tasks completed to management.

Requirements

Two to three years in electronic claims submission and medical collections.
Proficiency in MS Excel.

Nice To Haves

Four-year college degree preferred.
Experience in Infusion billing and collections strongly preferred.

Responsibilities

Reviews aging reports with management to prioritize aged and high dollar claim resolution.
Analyze, identify and communicate trends from aging report that indicate non-payment or slow reimbursement associated with specific payors, therapies, patient accounts and/or clients
Receives, investigates and responds to inquiries from payors
Responsible for the follow-up of designated accounts.
Follow up on denied and short paid claims and payment errors and make applicable corrections for proper adjudication and reimbursement
Prepare and submit appeals to overturn payor denials
Proactively seeks resolution to billing issues that may arise and communicate findings management and billing team
Review claim EOBs and correspondence to resolve denials of non-paid claims
Create Ad hoc reports as needed and distributing to requesting party
Special Projects as assigned
Other duties as assigned
Interacts professionally with clients and fellow employees.
Cooperates with team members to accomplish departmental goals.
Accepts and incorporates changes or new ideas into daily work.
Provides service in a responsive, timely and accurate manner to both clients and fellow employees.
Understands and adheres to policies and procedures.
Arrives to work as scheduled and notifies supervisors in a timely manner of any absences.
Recognizes priorities and acts; makes productive use of time.
Strives to resolve problems and conflicts on his/her own initiative.
Attempts to create new ideas or new procedures working as part of a group or individually.
Comply with HIPAA in using and disclosing protected health information.
Remain focused, productive and available during company business hours while working remotely.
Maintain and adhere to productivity standards by providing updates of daily tasks completed to management.