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Reimbursement Specialist

Company: Addus Homecare
Location: Sachse
Posted on: November 20, 2023

Job Description:

> > We offer our team the best

  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discountsPosition 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 40hrs.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 patients 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 assignedPosition 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 environmentTo apply via text, text 4674 to 334-518-4376

Keywords: Addus Homecare, Garland , Reimbursement Specialist, Other , Sachse, Texas

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