Reimbursement Specialist

Banner Health•Gilbert, AZ

2d•$20 - $31•Remote

About The Position

Find your path in health care. We want to change the lives of those in our care – and the people who choose to take on this challenge. If you’re ready to change lives, we want to hear from you. As a key member of our Home Medical Equipment team, you won't just be processing paperwork — you'll be the critical link between patients and the care they need. Every authorization you secure, every Certificate of Medical Necessity you manage, and every billing detail you verify helps ensure that a real person receives life-changing medical equipment — right in the comfort of their home. Ready to make your mark? Join Banner Health and help us deliver exceptional care — one document, one patient, one day at a time. Apply today and start your journey with a team that truly cares. This is a remote position with work hours scheduled between 7:00 AM and 5:00 PM (Arizona time), depending on business needs.

Requirements

High school diploma/GED or equivalent working knowledge.
2-3 years of experience in patient accounts, pharmacy or equipment intake.
Thorough understanding of regulatory and accreditation requirements of medical equipment and infusion medications for government and third party agencies to ensure compliance and appropriate reimbursement.
Effective interpersonal skills, with ability to provide effective customer service.
Demonstrated organizational and problem solving skills.
Ability to keep detailed records regarding equipment and medical records.
Ability to communicate effectively.
Able to prioritize and organize daily work.
Demonstrated ability to use and develop proficiency with computers and office software.

Nice To Haves

1-2 years of experience in clerical, customer relations and/or customer service departments.
Additional related education and/or experience.

Responsibilities

Obtains and maintains physician orders, authorizations, Certificates of Medical Necessity (CMN) and other supporting documents to ensure reimbursement from government agencies and insurance companies for medical equipment services.
Attends in-service education and training on policy, procedure, and work related material such as ADR (Medicare - Additional Documentation Request).
Acts as an internal resource for qualifying criteria, payment limitations and required documentation. Provides assistance to patient financial services regarding accurate patient account charges. Verifies the accuracy of required documentation. Examines and tracks all orders to ensure proper billing. Verify balances and receipts for all form of payments then completing an End of Day report.
Schedules and maintains CMNs and physician's orders for timely delivery and enters completed order into billing system for reimbursement.
Research/responds to overdue/delinquent accounts and follows up by mail and/or phone to resolve in a timely manner.
Research customer accounts thoroughly and documents appropriately, processes adjustments when services are non-covered or been denied.
This position is responsible for Certificates of Medical Necessity, physician orders and documentation for home medical equipment. The incumbent makes final independent decisions on the accuracy of the documentation.