Reimbursement Specialist I

Job description

Description Job Summary/Job Purpose: The Reimbursement Specialist I effectively reviews and processes paperwork necessary to bill and collect fees for equipment and services provided. In this role, you will interact with patients, referral sources, hospitals, physicians, insurance companies, state and federal agencies, as well as third-party intermediaries to complete transaction processes. Job Duties / Essential Functions: - Educate patients and staff regarding payer coverage, eligibility guidelines, documentation requirements and insurance change. - Maintains an extensive knowledge of different payer coverage, insurance policies, payer guidelines and payer contracts ensure accurate billing and timely payment is received. - Handle all insurance payer disputes - Identify trends and root causes related to inaccurate insurance billing - Review work lists and daily claims to ensure accurate claims are submitted. Make edits as needed. - Complete assigned accounts receivable projects within the required timeframes to ensure proper billing and timely filing. - Identify unpaid claims by patient and payer. Implement necessary corrective action on each unpaid claim. - Rectify daily denials...