Reimbursement Specialist - Frisco, United States - Addus HomeCare

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    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

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