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    Insurance Billing Specialist - North Canton, United States - Absolute Companies

    Absolute Companies
    Absolute Companies North Canton, United States

    3 weeks ago

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    Description
    Insurance Billing Specialist | Insurance Division
    Billing | Reimbursement Specialist


    POSITION SUMMARY:
    The Billing Reimbursement Specialist is responsible for ensuring cash flow for services provided. The individual in this position may cross train in more than one area of A/R Management.

    In general, the Representative is responsible for communicating understanding payer specific billing rules related to certain specialties including DME and Medications, The Representative may also be responsible for the timely follow up of open claims for their assigned insurance carriers, correcting claim rejections, reviewing denied claims, filing appeals and working special projects.

    Position is in office North Canton, Ohio


    PRIMARY DUTIES AND RESPONSIBILITIES:
    Ability to analyze and review insurance billing requirements
    Understanding insurance payments and copays
    Daily Census reporting, demographics by locations
    Month end closing and reporting
    Communications with responsible parties on balance due
    Review pending MedicaidWork with social workers and facilities on admission paperwork
    Review accounts for Insurance corrections
    Communicate with Facilities on daily census, admission paperwork
    Ability to communicate clearly in emails/notes providing information needed for account resolution
    Perform special projects as needed

    EXPECTATIONS OF EMPLOYEE:
    High school education or equivalent required
    Excel knowledge
    Ability to Lift 25 lbs
    Nursing home and or Assisted Living billing experience preferred
    Strong communication skills both written, verbal and presentation
    Computer skills including word, excel and pivot tables%9815110% %%admin%%
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