Jobs
>
Frisco

    Reimbursement Specialist - Frisco, United States - Addus HomeCare

    Show more Collapse job
    Default job background
    Regular, Full time
    Description

    >> We offer our team the best <<

    • Medical, Dental and Vision Benefits
    • Continued Education
    • PTO Plan
    • Retirement Planning
    • Life Insurance
    • Employee discounts

    Position Summary: The Reimbursement Specialist will be responsible for billing and revenue cycle management thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.

    Schedule: Monday-Friday 8am to 5pm (Remote)

    Essential Duties:

    • Accurately interprets patient insurance, prescription and other health-related documentation
    • Conducts medical insurance verifications and investigations for commercial and government payors
    • Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
    • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
    • Reviews all claims for compliance and completeness for claims submissions.
    • Researches available alternative funding options to reduce patient's financial burden
    • Handles high call volumes
    • Communicates with internal and external departments to facilitate coordination of care
    • Maintains a high degree of confidentiality at all times due to access to sensitive information
    • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
    • Follows all Medicare, Medicaid, and HIPAA regulations and requirements
    • Abides by all regulations, policies, procedures and standards
    • Performs other duties as assigned

    Position Requirements & Competencies:

    • High school diploma or equivalent is required; Undergraduate degree is preferred
    • Experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment is preferred
    • Possess quick and accurate Alpha/numeric data entry skills
    • Computer proficiency - MS Office and Web-enabled applications strongly preferred
    • Customer service skills required.
    • Understanding of the requirements of Medicaid, Medicare and Insurance billing is preferred
    • Maintains positive internal and external customer service relationships
    • Maintains open lines of communication
    • Plans and organizes work effectively and ensures its completion
    • Meets all productivity requirements
    • Demonstrates team behavior and promotes a team-oriented environment
    • Actively participates in Continuous Quality Improvement
    • Represents the organization professionally at all times
    • Self-starter with exceptional organizational and follow-through skills
    • Excellent verbal and written communication skills
    • Ability to work independently and in a team environment

    To apply via text, text 5885 to

    #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR


    We have other current jobs related to this field that you can find below


  • Soleo Health Inc Frisco, United States

    Job Description · Job DescriptionDescription:Soleo Health is seeking a Reimbursement Specialist to work Remotely (USA). Eastern Time Zone Preferred. Join us in Simplifying Complex Care · Soleo Health Perks: · Competitive Wages · 401(k) with a Match · Referral Bonus · Paid Time ...


  • Soleo Health Inc Frisco, United States

    Job Description · Job DescriptionDescription:Soleo Health is seeking a Reimbursement Contract Specialist to work Remotely (USA) with our Payor Contracts. Home Infusion experience required. Join us in Simplifying Complex Care · Soleo Health Perks: · Competitive Wages · Paid Parent ...


  • The LaSalle Group Dallas, United States

    As a national revenue cycle solutions firm, our client partners with healthcare organizations to increase cash collections, decrease unpaid claims and reduce denials and write offs.This well-trained customized business is looking for strong Medical Reimbursement Specialist who ca ...


  • NSN Revenue Resources Dallas, United States

    Job Type · Full-time · Description · The Hospital Refund Specialist has the responsibility of identifying and resolving credit balances on patient accounts to ensure refunds are issued in a timely manner. This position ensures the highest quality and safe delivery of customer s ...


  • UnitedHealth Group Dallas, United States

    You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. · At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone. · LHI is one of 4 businesses under OptumSe ...


  • Thomson Reuters Frisco, United States Full time

    The Medium Law Firm Senior Sales Executive is responsible for selling Westlaw, Practical Law, HighQ, CoCounsel Core and other products to the legal community within an assigned territory. This individual will leverage their expert consultative sales approach and honed professiona ...


  • Thomson Reuters Frisco, United States Full time

    This is an exciting opportunity to join the Tax & Accounting Professionals (TAP) business unit as a Business Optimization Manager, ready to take on the challenge as an individual contributor within our Business Optimization organization. In this role, you will be responsible for ...

  • Clarkson Eyecare

    Cornea Specialist

    1 week ago


    Clarkson Eyecare Frisco, United States

    Clarkson Eyecare is seeking a Cornea Specialist to join our team · About the Practice: · We have been serving the community with world-class eye care by offering the most advanced technologies available, delivered by a committed, caring, and expert group of doctors and staff. O ...


  • Clarkson Eyecare Frisco, United States

    A Front Office Specialist is trained to act as the first point of contact, setting the tone for a world class Total Patient Experience. The Front Office Specialist will also perform the necessary administrative responsibilities needed to create a smooth check-in/out experience fo ...


  • Conifer Revenue Cycle Solutions Frisco, United States

    JOB SUMMARY · This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards an ...


  • Taylor Morrison Frisco, United States

    Job Description Summary · As a Marketing Specialist working for Taylor Morrison you will be working with the Marketing Manager and the Vice President of Sales & Marketing within the division ensuring that the customers' needs are met whilst maximizing the profits of the company. ...


  • Tenet Healthcare Corporation Frisco, United States

    As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, a ...


  • Clarkson Eyecare Frisco, United States

    Title: Front Office Specialist · Company: Clarkson Eyecare · Location: Frisco, TX (Stonebrook) · Training Provided - No medical/eyecare experience required · Pay: $16/hour+ with commissions · Perks: · * Full Benefits Package - Medical, Vision, Dental and Life Insurance · * 401k + ...


  • Baylor Scott & White Healthcare Frisco, United States

    JOB SUMMARY · The Patient Services Specialist 1, with direct oversight, provides administrative support in a physician office, clinic or other operational area that assists patients, to ensure high quality, patient-centered care. Duties include patient relations, check-in and ch ...


  • Conifer Revenue Cycle Solutions Frisco, United States

    JOB SUMMARY · This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards an ...


  • Soleo Health Inc Frisco, United States

    Job Description · Job DescriptionDescription:Soleo Health is seeking a Contract Nursing Specialist to support our Home Infusion Specialty Pharmacy Remotely (USA). Join us in Simplifying Complex Care · Soleo Health Perks: · Competitive Wages · 401(k) with a Match · Referral Bonus ...


  • Soleo Health Inc Frisco, United States

    Job Description · Job DescriptionDescription:Soleo Health is seeking an Intake Coordinator (Clearance Specialist) to support our Specialty Home Infusion Pharmacy Operations Remotely (USA). Join us in Simplifying Complex Care · Specialty Infusion experience required. · Soleo Healt ...


  • RXO Inc. Frisco, United States

    Accelerate your career at RXO. · RXO is a leading provider of transportation solutions. With cutting-edge technology at the center, we're revolutionizing the industry with our massive network and commitment to finding solutions for every challenge. We create more efficient ways ...


  • Clarkson Eyecare Frisco, United States

    Job Description · Job DescriptionTitle: Front Office Specialist · Company: Clarkson Eyecare · Location: Frisco, TX (Stonebrook) · Training Provided – No medical/eyecare experience required · Pay: $16/hour+ with commissions · Perks: · Full Benefits Package - Medical, Vision, Den ...

  • Baylor Scott & White Health

    RN CDU PT Evenings

    3 weeks ago


    Baylor Scott & White Health Frisco, United States

    * Shift/Schedule - Part Time Evenings 3:00 PM - 11:00 PM. 3/8 hour shifts per week and up to 3 weekend shifts per 6 weeks · Join Baylor Scott and White Medical Center - Centennial as a Registered Nurse and be part of something better · Medical Surgical/Telemetry · Our Medical Sur ...