Temp – Administrative – Reimbursement Specialist (Days) Beverly, MA
Job Detail
Title: Temp – Administrative – Reimbursement Specialist (Days) Beverly, MA
Description: THIS IS A FULLY REMOTE POSITION!
The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates, documents, and communicates with health insurance representatives regarding proper insurance payments in accordance with policies and procedures and current federal, state, and local standards, guidelines, and regulations.
Essential
Functions
- Responsible for
accurate billing and collecting of revenue for respective financial classes - Demonstrates a
higher knowledge of respective financial class - Obtains and
tracks claim status via phone and online portals - Composes and
follows up on claims appeals - Appropriately
identifies, addresses, submits and processes adjustments - Reviews and
understands Explanation of Benefits documents - Builds
effective working relationships with insurance carriers and representatives - Allocates
coinsurance and deductibles timely and appropriately within applicable database - Effectively
collects and/or resolves a higher volume of claims and more difficult accounts - Actively
applies a solid foundation and knowledge of Billing and Reimbursement practices
while exercising appropriate independent thought and decision-making skills to
effectively troubleshoot and offer guidance on next steps