Reimbursement Representative

Job description

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization. SUMMARY: The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and procedures. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. - Reviews EOB/EOMB's for proper reimbursement. - Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner. - Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment. - Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment. - Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid accor...