Reimbursement Specialist

PromptCare Companies•New Providence, NJ

1d•Hybrid

About The Position

PromptCare seeks a highly motivated, experienced, and detail-oriented Reimbursement Specialist to join our AR Infusion team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare’s policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at https://www.promptcare.com/ Reporting to: Departmental Supervisor or Manager Job Type: Full-time, 40 hours per week, Monday-Friday, flexible eight (8) hour shifts earliest starting at 8:00am Location: Hybrid out of New Providence, NJ

Requirements

High School Diploma or equivalent
2-3 years of experience in electronic claims submission and medical collections preferred
Working knowledge of insurance plans including Medicare and Medicaid required
Industry experience with billing/collections in DME, home infusion and/or enteral preferred
Accounts receivable and accounting experience preferred
Knowledge of CPR+ and/or Caretend software preferred

Responsibilities

Collections of third-party payor accounts for assigned payers
Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research
Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans
Identify adjustments, payment trends and denials and ensure problems are escalated as necessary
Maintain confidentiality in all aspects of patient care, employee activities and office environment
Communicate changes regularly or as often as needed
Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections
Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
Field and troubleshoot calls from patients regarding benefit, claims and patient balances
Pro-actively seek resolutions to any billing issues that may arise
Perform CPR+/Caretend related transactions accurately and timely
Perform other duties as assigned

Benefits

Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans