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