Reimbursement Specialist - remote

Main Template•Alameda, CA

3d•Remote

About The Position

The Reimbursement Specialist is responsible for billing and collection activities for assigned fee-for-service and third-party facilities, including Medicare, Medi-Cal/Medicaid, counties, commercial insurance, and members served. The specialist keeps current on applicable CPT and other coding changes, fee-for-service and contract billing rates, and communicates relevant changes to affected parties at Telecare. Some travel to locations where Telecare does business or plans to do business may be required. This is a full-time remote role with an AM schedule, Monday through Friday, from 8:30 AM to 5:00 PM. The expected starting wage range is $27.25–$34.42; the applicable range depends on the geographic location from which the role is performed, and starting pay is commensurate with relevant experience above the minimum requirements. Telecare delivers behavioral health services and emphasizes cultural diversity, humility, equity, and inclusion. Employment is contingent on applicable post-offer screening and clearances, including a physical examination, a two-step tuberculosis PPD test, criminal background clearances, excluded-party sanctions, and degree or license verification. Additional regulatory, contractual, or local requirements may apply.

Requirements

Five years of prior medical billing experience, or two years of college and one year of healthcare experience.
Extensive knowledge of Medicare, Medi-Cal/Medicaid, and commercial insurance.
High level of PC literacy, especially in Excel and Word.
Ability to work independently using extensive reimbursement experience and judgment.
Demonstrated capacity to work with sophisticated automated billing systems.
Must be fingerprinted and receive clearance from the Department of Justice and the Office of Inspector General.
Must be at least 18 years of age.
Successful completion of applicable post-offer physical examination, two-step PPD test for tuberculosis, acceptable criminal background clearances, excluded-party sanctions, and degree or license verification.
If driving is required, a valid driver's license, motor vehicle clearance, and proof of auto insurance are required at employment and must be maintained throughout employment.

Responsibilities

Perform billing and collection activities for assigned fee-for-service and third-party facilities.
Handle billing and collections involving Medicare, Medi-Cal/Medicaid, counties, commercial insurance, and members served.
Keep up to date on applicable CPT and other coding changes and fee-for-service or contract billing rates.
Communicate coding and billing-rate changes to affected parties at Telecare.
Travel to locations where Telecare does business or plans to do business, as needed.

Benefits

Paid time off for eligible employees working 20 or more hours per week, accrued each pay period for vacation and personal needs; part-time accrual is prorated, with annual carryover up to set caps.
Nine paid holidays.
Shift differentials for hourly staff: 6% for PM shifts and 10% for NOC shifts.
Weekend shift differentials for hourly staff: 5% for weekend AM shifts, 11% for weekend PM shifts, and 15% for weekend NOC shifts.
Free continuing education units (CEUs).
Free supervision for BBS Associate License.
Coaching and mentorship.
Online University tuition discount and company scholarships.
Medical insurance.
Vision insurance.
Dental insurance.
401(k).
Employee Stock Ownership Plan.