- Reporting reimbursement trends and issues to managed care organizations and departments, as well as informing business services divisions of implementations on renewals or new contracts.
- Maintain working relationships with payer parties, such as insurance companies and government agencies, to fix slow payment issues or reimbursement problems. They keep up on outstanding claims until the final payment is made.
- Communicate with patients, families, doctors, manufacturer account sales and office personnel to answer medical billing inquiries or questions about coverage on certain procedures.
- Track denials within the database to monitor underpayment occurrences.
- Regularly report to management regarding any payer policies, rates, procedures, or changes that will affect their company.
- Active in meetings, where they update staff on progress or problems and consider coworkers' suggestions for improving service quality or processes.
- Identify professional and productive relationships with potential customers.
- Coordinate with account teams to ensure business success.
- Provide excellent customer service to ensure customer satisfaction.
- Manage all front-end paperwork for customer accounts.
- Coordinate and manage customer account documentation.
- Document, track, and resolve all plan providers' billing and payment issues.
- Research verbal and written providers' claims inquiries.
- Collaborate with various business units to resolve claims issues and provide instruction to providers' billing staff and services regarding claims submission policies and procedures to ensure prompt and accurate claims adjudication.
- Identify authorization issues and trends.
- Direct and educate Provider Services and Relations with the claims reprocessing notification, utilizing knowledge of provider billing and claims processing.
- Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes.
- Identify providers experiencing claims issues, or those that have the potential to develop claims issues, and proactively work to eliminate barriers for accurate and timely claims processing.
- Identify potential and documented eligibility issues and notify applicable departments to resolve them.
- Meet with providers to discuss claims payment policies and procedures and resolve claims issues.
- Handle provider additions, changes and terminations as identified.
- Run claims reports regularly through provider information systems.
- Assist the supervisor with compiling and preparing data for the Daily Dedicated Dashboard reporting.
- Report on the current patient statuses in the Dedicated Pharmacy Dashboard meetings.
- Regular and reliable attendance expected.
- Other work-related duties as assigned by supervisor/manager.
- Bachelor's degree or related experience required.
- At least 4 years of relevant experience and strong knowledge base in healthcare policy and reimbursement for all payer types including Commercial, Medicaid and Medicare.
- Experience with relationship-building with customers.
- Relevant work experience to give presentations audio conferences and face-to-face visits.
- Strong organizational skills.
- Extremely detail-oriented.
- High level of professionalism.
- Strong customer service skills.
- Excellent written and verbal communication skills.
- Excellent computer skills - MAC or PC.
- Strong spreadsheet and database management.
-
Medical Receptionist
3 weeks ago
Retina Consultants of Michigan Shelby, United States Part time**Description**: · Greet patients as they arrive and leave our clinic in a friendly manner. The **Front Desk/Receptionist** is responsible for greeting patients in a professional manner; updating and verifying patient information, including obtaining patient ID/insurance informat ...
-
Patient Services Representative
6 days ago
Retina Consultants of Michigan Shelby, United States**Description**: · Greet patients as they arrive and leave our clinic in a friendly manner. The **Front Desk/Receptionist** is responsible for greeting patients in a professional manner; updating and verifying patient information, including obtaining patient ID/insurance informat ...
-
Manager, Facilities
1 week ago
Thermo Fisher Scientific Memphis, United States**Fisher Bio Services** · **Facilities Manager** · As part of the Thermo Fisher Scientific team, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life every single day to enable our customers to make th ...
-
Manager, Facilities
1 week ago
Thermo Fisher Scientific Memphis, United States**Fisher Bio Services** · **Facilities Manager** · As part of the Thermo Fisher Scientific team, you'll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life every single day to enable our customers to make th ...
-
Fleet Coordinator
3 weeks ago
ContainerPort Group Memphis, United StatesAbout World Group: · World Group was founded over 60 years ago as a pioneer in vessel agency services on the Great Lakes. Today, we are home to a portfolio of globally trusted brands that deliver customers end-to-end supply chain and logistics solutions, backed by innovative tech ...
-
Property Accountant
3 weeks ago
Greystar Memphis, United States Full timeApplies generally accepted accounting principles (GAAP) to analyze financial information, reconcile financial statements, prepare general and standard journal entries, assist in budget development, and prepare standard accounting and financial reports for management. JOB DESCRIP ...
-
Business Development Specialist
4 weeks ago
Odyssey Behavioral Healthcare Memphis, United StatesThis role is critical to the organization. This role will require living in West Tennessee (Memphis), Alabama (Huntsville or Birmingham), or Mississippi. · Three main variables are the focus: · Connect providers, clients, and families to appropriate clinical resources. · Serve as ...
-
Travel Nurse
2 weeks ago
Triage Shelby, United StatesTriage is seeking an experienced General Practice Licensed Practical Nurse for an exciting Travel Nursing job in Shelby, NC. Shift: Inquire Start Date: 06/10/2024 Duration: 13 weeks Travel LPN/LVN | Shelby, NC · Travel Long Term Care: Assisted Living Facility Shelby · Location: ...
-
Travel Nurse
5 hours ago
Triage Memphis, United StatesTriage is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel OR RN | Memphis, TN · Travel Nursing: OR Memphis · Location: Memphis · Start Date: 6/ ...
-
Travel Nurse
2 weeks ago
Triage Shelby, United StatesTriage is seeking an experienced General Practice Licensed Practical Nurse for an exciting Travel Nursing job in Shelby, NC. Shift: Inquire Start Date: ASAP Duration: 13 weeks Travel LPN/LVN | Shelby, NC · Travel Long Term Care: Assisted Living Facility Shelby · Location: Shelby ...
-
Travel Respiratory Therapist
1 day ago
Triage Memphis, United StatesTriage is seeking an experienced Respiratory Therapist for an exciting Travel Allied job in Memphis, TN. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel Respiratory Therapist | Memphis, TN · Travel Cardiopulmonary: Respiratory Therapy Memphis · Loca ...
-
Travel Nurse
2 weeks ago
Triage Memphis, United StatesTriage is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/17/2024 Duration: 13 weeks Pay: $ / Week Travel ICU RN | Memphis, TN · Travel Nursing: Intensive Care Unit Memphis · Location: M ...
-
Travel Nurse
2 days ago
Triage Memphis, United StatesTriage is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Memphis, MO. Shift: Inquire Start Date: 06/17/2024 Duration: 13 weeks Pay: $ / Week Travel ER RN | Memphis, MO · Travel Nursing: Emergency Department Memphis · Location: Memphi ...
-
Travel Nurse
2 weeks ago
Triage Memphis, United StatesTriage is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/10/2024 Duration: 13 weeks Travel ER RN | Memphis, TN · Travel Nursing: Emergency Department Memphis · Location: Memphis · Start Date ...
-
Travel Nurse
2 days ago
Triage Memphis, United StatesTriage is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel Med Surg RN | Memphis, TN · Travel Nursing: Med/Surg Memphis · Location: Memphis · ...
-
Travel Nurse
2 days ago
Triage Memphis, United StatesTriage is seeking an experienced Oncology Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel Oncology RN | Memphis, TN · Travel Nursing: Oncology Memphis · Location: Memphis · Start Da ...
-
Travel Nurse
1 week ago
Triage Memphis, United StatesTriage is seeking an experienced General Practice Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/06/2024 Duration: 13 weeks Pay: $ / Week Travel RN (uncategorized) | Memphis, TN · Travel Nursing: Long Term Acute Care Memphis · L ...
-
Travel Nurse
1 day ago
Triage Memphis, United StatesTriage is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel Med Surg RN | Memphis, TN · Travel Nursing: Med/Surg Memphis · Location: Memphis · ...
-
Travel Nurse
1 week ago
Triage Memphis, United StatesTriage is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/17/2024 Duration: 13 weeks Pay: $ / Week Travel Med Surg RN | Memphis, TN · Travel Nursing: Med/Surg Memphis · Location: Memphis · ...
-
Travel Nurse
2 weeks ago
Triage Memphis, United StatesTriage is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Memphis, TN. Shift: Inquire Start Date: 06/17/2024 Duration: 13 weeks Pay: $ / Week Travel Labor & Delivery RN | Memphis, TN · Travel Nursing: Labor and Delivery Memphis · ...
Reimbursement Account Liaison - Memphis, United States - Anovorx Group LLC
Description
Job Description
Job DescriptionJob Summary:
The Reimbursement Account Liaison is responsible for managing the financial activities of patient payers, from the time products or services are dispensed until the payment cycle ends. Acting as a liaison between manufacturer accounts sales, billing departments and health clinicians, reimbursement accounts liaisons manage all functions regarding claims processing, such as overseeing disputed, delayed, or rejected claims. In addition to being communicative, they need to be independent, decisive, and interpersonal as they interact with patients; state, federal and private representatives, fiscal intermediaries; manufacturer and pharmacy partners and managed care case managers. The below is intended to describe the general content of and requirements for the performance of this job and is not to be construed as an exhaustive statement of essential functions, responsibilities, or requirements.
Primary Duties and Responsibilities
Minimum Knowledge, Abilities, and Skills Required
This description is intended to be only a general outline of major activities. It is expected that the employee performs these and any other activities which may be assigned, or which may occur in the normal course of work. This description is not a contract or guarantee of employment. AnovoRx is an Equal Opportunity Employer.