Reimbursement Specialist - 901
About The Position
The Reimbursement Specialist is responsible for all billing and collection activities for assigned fee for service/third party facilities, including Medicare and Medi-Cal/Medicaid, counties, commercial insurance and members served. Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business. Shifts Available: ⯠Full-Time | DAYS | Shifts: 8:30 AM - 5:00 PM | Days: Monday - Friday Expected starting wage range is $27.85 - $34.42.â¯Telecare applies geographic differentials to its pay ranges.⯠The pay range assigned to this role will be based on the geographic location from which the role is performed.⯠Starting pay is commensurate with relevant experience above the minimum requirements.
Requirements
- Five (5) years of prior medical billing experience or two (2) years of college and one (1) year of healthcare experience.
- Extensive knowledge of Medicare, Medi-Cal/Medicaid and commercial insurances
- A high level of PC literacy, especially in Excel and Word
- The ability to operate independently, utilizing past extensive reimbursement experience and judgment
- This position requires the demonstrated capacity to work with sophisticated automated billing systems
- Applicant 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
- All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification.
- If the position requires driving, valid driver’s license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment.
- Additional regulatory, contractual, or local requirements may apply.
Responsibilities
- billing and collection activities for assigned fee for service/third party facilities, including Medicare and Medi-Cal/Medicaid, counties, commercial insurance and members served.
- Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare.
- There may be some travel to locations where Telecare does business or plans to do business.
Benefits
- Paid Time Off: Eligible employees (20+ hours/week) earn PTO each pay period for vacation and personal needs, with pro-rated accrual for part-time schedules and annual carryover up to set caps.
- Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift).⯠Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift)
- Free CEUs, free Supervision for BBS Associate License, coaching, and mentorshipâ¯â¯
- Online University Tuition Discount and Company Scholarshipsâ¯â¯
- Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
