Reimbursement Specialist

> We offer our team the best

• Medical, Dental and Vision Benefits
• Continued Education
• PTO Plan
• Retirement Planning
• Life Insurance
• Employee discounts
  
  

Addus is searching for a Reimbursement Specialist to join our team. The Reimbursement Specialist will be responsible for billing and revenue cycle support thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.

Schedule: Remote - Monday thru Friday 40 hours per week plus some overtime.

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 patient’s 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 assigned
  
  

Position 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
• Understanding of the requirements of Medicaid, Medicare and Insurance billing is preferred
• Maintains positive internal and external customer service relationships
  
  

To apply via text, text 6729 to 334-518-4376

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