Reimbursement Specialist

Pro Med Healthcare Services • Sarasota, FL

6d

About The Position

The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers. Hospice or Part A experience is helpful. Commercial payer experience is a must. Candidates should have strong critical thinking skills, excellent follow-up abilities, and hands-on experience working with clearinghouses and commercial payers.

Requirements

• Minimum of one (1) year of current applicable experience.
• Ability to work well within a team environment and manage assigned tasks independently.
• Strong interpersonal, communication, and customer service skills.
• Knowledge and familiarity with medical terminology.
• Strong PC skills, including proficiency in Microsoft Office Suite, database applications, and medical billing applications.
• Ability to keyboard 30 wpm.

Nice To Haves

• One (1) year of previous home health billing-related experience.
• Experience in collections with Medicaid, Managed Care/Insurance, and Private Payers.
• Wellsky (Kinnser) experience.

Responsibilities

• Accurately perform mathematical computations and audit data to detect errors.
• Continuously works with rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Insurance providers.
• Properly document accounts clearly and status activity.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED