Reimbursement Specialist

Empath Health•West Palm Beach, FL

43d

About The Position

Empath Health is seeking a detail-oriented Reimbursement Specialist to join its Patient Accounting Team. The specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains accounts receivable and patient service revenue records and reports.

Requirements

Associate degree, with one year of previous billing or medical-office-related experience preferred.
Demonstrated experience in general healthcare billing practices.
Proficiency with billing software and Netsmart and HCHB EMR within three months of hire.
Knowledge of Medicare and Medicaid billing regulations.
Knowledge of and familiarity with medical terminology.
Strong interpersonal, communication, and customer service skills.
Strong PC skills, including proficiency with Microsoft Office Suite, database applications, and medical billing applications.

Nice To Haves

One year of previous billing or medical-office-related experience.

Responsibilities

Prepare, review, and submit monthly billings according to established procedures.
Match bills with census information, identify discrepancies, and review patient billing revenues for accuracy.
Record payments as received, reconcile cash receipts monthly, and maintain accounts receivable records and reports.
Review and correct accounts receivable bills and records before transmission or mailing.
Resolve rejected, denied, and returned claims, following up as necessary to collect payments from Medicare, Medicaid, and insurance providers.
Complete billing audits to ensure accuracy and compliance.
Receive and answer inquiries from insurance sources and Case Managers regarding patient status or updated authorizations.