Reimbursement Specialist
About The Position
The Reimbursement Specialist is an energetic individual with experience in healthcare payment posting, preferably Physical Therapy and Raintree, who also has good Excel and problem-solving skills. In this role, you report to the RCBP Reimbursement and will be assigned day to day activities related to the daily posting and reconciliation activities, as well as special projects related to posting activities. This position works in the Fuse portal and the Remittance Assist application to match Remittance Advices to deposits, ensuring that remittances flow to the posting team in a timely manner, and ensure all deposits are posting in the current GL period. This position is detail oriented and requires communication skills to call insurance companies and navigate payer portals to obtain remittance/EOBs. This position is required to maintain a follow up queue age of 10 days and Unidentified deposit turnover of 92% within 30 days.
Requirements
- Healthcare Payment posting experience, preferably in Physical Therapy or similar specialty
- Strong computer skills, with emphasis on Excel and Microsoft Office
- High level of accuracy and productivity in performing job functions
- Ability to read and interpret Explanations of Benefits
- Ability to manage multiple priorities and multitask.
- Team player who can also work independently.
- Open availability M-F 8am – 6pm ET
Nice To Haves
- Raintree EMR experience preferred.
Responsibilities
- Daily deposit tracking – pulling missing EOBs and loading into Fuse, manual matching of ERA/Deposits in Fuse, and reconciling daily deposits in Remit Assist app.
- Reviewing, researching, and resolving assigned tasks related to missing payments, EOBs, and posting errors in the Raintree system.
- Supporting the Month End reconciliation process
- Accurate and timely payment posting, as assigned.
- Knowledgeable of all aspects of payment posting in Raintree and assigned Legacy systems –remit/automated, manual, Refunds, corrections, etc.
- Identify and escalate issues to leadership in a timely manner.
- Ad hoc projects, reporting and analysis as requested.
- Perform other duties as assigned
Benefits
- Eligibility for full benefits package beginning within your first month of employment.
- Generous PTO (Paid Time Off) plans
- paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
