Reimbursement Specialist - remote

Telecare Corporation • Alameda, CA

3d • $27 - $34 • 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 role keeps current on applicable CPT and other coding changes, fee-for-service and contract billing rates, and communicates changes to affected parties at Telecare. Some travel to locations where Telecare does business or plans to do business may be required.

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.
• Employment is contingent on acceptable results of applicable post-offer physical examination, two-step PPD tuberculosis test, 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

• Handle billing and collection activities for assigned fee-for-service and third-party facilities.
• Keep up to date on applicable CPT and other coding changes and fee-for-service or contract billing rates.
• Communicate relevant 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

• Eligible employees working 20 or more hours per week earn paid time off each pay period for vacation and personal needs, with prorated accrual for part-time schedules and 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, 11% for Weekend PM, and 15% for Weekend NOC.
• Free continuing education units, supervision for BBS Associate License, coaching, and mentorship.
• Online University tuition discount and company scholarships.
• Medical, vision, and dental insurance.
• 401(k).
• Employee Stock Ownership Plan.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed