Reimbursement Specialist
About The Position
Enlightened Recovery is seeking a Substance Abuse Reimbursement Specialist to join our billing team. This role is responsible for managing high-volume insurance collections and reimbursement for substance abuse and behavioral health services. The ideal candidate has at least two years of experience in medical billing or collections. Key Responsibilities: Experience with running and reviewing aging accounts receivable reports, appeals, corrected claims, and reconsiderations within payer deadlines and the ability to resolve claim denials, payment discrepancies, and reimbursement issues Ability to enter patient details into billing software and maintain patient accounts including but not limited to demographics, insurance information, diagnosis codes. The ability to read and review incoming correspondence from insurance payers and online sites and resolve any billing issues that delay reimbursement and effectively communicate with insurance companies, clients, healthcare providers, and communicate to manage any issues related to reimbursement of claims Responsible for the timely follow-up on outstanding receivable accounts that are billed to insurance companies. The ability to handle high-volume insurance collections for substance abuse and behavioral health claims, with knowledge of major payers and provide accurate documentation of communications, preferred Come join our team! We offer a supportive environment, competitive wages, incentive programs, and a comprehensive benefits package including: Health and wellness benefits (e.g., medical, dental, vision, prescription) Time off benefits (10 vacation days in the first year, sick leave, 8 holiday’s) Financial security benefits (Profit Sharing, 401(k) feature, life insurance, etc.) FSA, DCA, employer funded HRA...and more!
Requirements
- High School Diploma or equivalent
- 2-year experience, preferred
- Out of Network Billing Experience
- Proficient Computer Skills; Experienced in Microsoft Office skills (Excel, Word, Outlook)
- Written and oral communication skills are required
- Ability to work independently
- Possess strong attention to detail, accuracy, time management and organization skills
- Possess strong analytical and problem-solving skills
- Support coworkers by working as a team and engaging in a positive work environment
- Ability to manage multiple tasks with ease
Responsibilities
- Experience with running and reviewing aging accounts receivable reports, appeals, corrected claims, and reconsiderations within payer deadlines and the ability to resolve claim denials, payment discrepancies, and reimbursement issues
- Ability to enter patient details into billing software and maintain patient accounts including but not limited to demographics, insurance information, diagnosis codes.
- The ability to read and review incoming correspondence from insurance payers and online sites and resolve any billing issues that delay reimbursement and effectively communicate with insurance companies, clients, healthcare providers, and communicate to manage any issues related to reimbursement of claims
- Responsible for the timely follow-up on outstanding receivable accounts that are billed to insurance companies.
- The ability to handle high-volume insurance collections for substance abuse and behavioral health claims, with knowledge of major payers and provide accurate documentation of communications
Benefits
- Health and wellness benefits (e.g., medical, dental, vision, prescription)
- Time off benefits (10 vacation days in the first year, sick leave, 8 holiday’s)
- Financial security benefits (Profit Sharing, 401(k) feature, life insurance, etc.)
- FSA, DCA, employer funded HRA
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
