Reimbursement Specialist

Healthcare Provider Solutions, Inc.

1d • Remote

About The Position

Our company is seeking a full-time Reimbursement Specialist to work on our Home Health Non Medicare Posting. The ideal candidate for this job has a minimum of 2 years of experience in Medicare Advantage and Commercial payer posting required.

Requirements

• Must have a minimum of 2 years cash posting experience preferably in Commercial, a Non-Medicare payers.
• Able to identify issues with payer set up and accuracy of tracking appropriate payment expected based on established contracts.
• Ability to utilize Microsoft Office efficiently, including Outlook (email and calendar), and Excel is a must.
• Ability to perform daily, weekly and monthly reconciliations of posting.
• Attention to detail and accuracy a must.
• Familiar with takebacks, offset posting.
• Excellent communication skills, you may be required to communicate with internal teammates and customers.
• Organization skills to track workload.
• Ability to work independently and with a team.
• Identify trends and carrier issues relating to reimbursement.
• Has experience with multiple EMR systems.
• Has experience with obtaining Remits and EOBs in Waystar and other portals.
• Must be able to read, write, and follow directions in English.
• Must have knowledge of basic math skills.
• Knowledge of how to use a phone line system, copier/scanner, fax, and email is a must.
• Must be able to sit for at least eight hours per day and look at a computer screen.
• High School Diploma

Responsibilities

• Post Payments received from Non-Medicare and other payers as required.
• Ability to post for multiple clients in multiple EMRs.
• Ability to read insurance contracts and validate payments accordingly.
• Perform write off request as assigned and approved appropriately.
• Ability to post patient payments and generate self pay invoices.
• Ability to identify incorrectly paid and denied claims for the collections team.
• Ability to adapt to change with ease.
• Critical review of all payments received by use of HPS tools.
• Review EOB’s to identify payment errors, denials and low reimbursement.
• Perform month end reconciliations
• Run and analyze payment logs for posting accuracy.
• Communication with clients.
• Keeps management informed of changes in billing requirements and denial codes as they pertain to claim processing and coding.
• Participate in meetings with Billing and Collections team as needed and provide input of any payer payment issues identified.
• Fulfill additional performance responsibilities as assigned and necessary
• Willing to adapt and learn other areas within the Revenue Cycle department if needed.

Benefits

• Paid Time Off (PTO; starts accruing day one and is available for use following probationary period of 60 days)
• Eleven paid holidays off per calendar year, 2 additional floating holidays annually
• Company paid medical and life insurance policy for employee upon eligibility
• Dental, vision, and dependent medical coverage offered to employee, at cost upon eligibility
• Retirement plan with company match available immediately upon hire

What This Job Offers

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