Reimbursement Specialist

Job Description

Do you have experience with medical coding? Are you a natural with numbers and computing cost? This may be the perfect job for you

Billing & Collections
Electronically and manually processing of vendor billing for client services to various vendors, to include denial and unpaid claim follow up, remittance reconciliation and payment posting, processing refunds and paybacks, and vendor EDI troubleshooting. Manipulation and interpretation of various electronic health record reports will also be required. Client account reconciliation and customer service.

Authorizations
Obtain Medicaid Authorizations with various HMOs for Behavioral Health Services. Monito the status after the completion of requests. Electronically enters authorization approval from the insurance company into client’s record.

Client Financial Assessments
Compute client financial responsibility for costs of services by compiling information on income and family size and verifying insurance coverage. All information will be entered directly in the CIBH electronic health record.

General Reimbursement Tasks
Completion of team and individual tasks related to revenue collection. Data entry, filing, faxing, and research of returned mail are some of the included tasks.
The City of Chesapeake offers an exceptional range of benefits. Please browse ourfor a full list of benefits and employee perks.
#medicalcoding #revenuecollection #financial Required Qualifications VOCATIONAL/EDUCATIONAL REQUIREMENT: Requires a high school diploma or GED and any combination of education and experience equivalent to the satisfactory completion of one year of college education in medical billing or a closely related field.

EXPERIENCE REQUIREMENT: In addition to satisfying the vocational/education standards, this class requires a minimum of one year of full-time equivalent experience.

SPECIAL CERTIFICATIONS AND LICENSES: None required.

SPECIAL REQUIREMENTS: Employees may be expected to work hours in excess of their normally scheduled hours in response to short-term department needs and/or City-wide emergencies. Preferred Qualifications In addition to satisfying the vocational/education/experience standards in the class description, this position requires a minimum of 1-year full-time equivalent billing experience within the last 5 years.

Experience with Authorization Management. Monitor, track and enter approvals into an electronic chart. Being able to effectively communicate with various insurance companies. Understanding units and CPT codes for Behavioral Health Services. Attention to detail able to develop and maintain an organization system. Prioritize time sensitive requests.

The candidate must be able to multitask. An acceptable criminal history and driving records report are required.

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