Health Care Reimbursement Specialist (1454)

Health Care Reimbursement Specialist (1454)

Must maintain communication with payers weekly using the following tools phone email fax etc... Confirms that items supplied are cost effective for the member s insurance using the appropriate Procedure Code and Allowable to ensure an accurate Accounts Receivable. Process Claims and Invoices run claims report print and review claims and invoices mail or electronically transmit to appropriate carrier. Work Denials correct and resubmit billing errors process denied claims appropriately. Work Monthly Aging Reports Research unpaid claims to determine trends. Decide whether a claim can be appealed adjusted or is non-collectable. Work Validation Reports to determine internal trends. Respond to billing and insurance questions from internal and external customers. Responsible for reviewing Insurance policy and regulations and informing those necessary of any changes. Perform all duties and responsibilities in compliance with all State Federal and Company policies. Some A R Reps are responsible for performing the Company Monthly Audit. Performs other A R duties as requested by the Accounts Receivable Manager. Detail oriented. Demonstrated computer literacy. Must have working knowledge of the following Microsoft products Excel Outlook and Word. Demonstrated written and oral communication skills and verified math skills. Medicare and Medicaid experience a plus. Motivated self-starter preferred. High school diploma or equivalent required. Previous medical billing preferred. Please apply online at activstyle-openhire.silkroad.com epostings submit.cfm fuseaction app.dspjob& jobid 474& company_id 16910& jobboardid 201