Current jobs related to Reimbursement Specialist - New Providence - PromptCare Companies Inc

  • MDS Clinical Reimbursement Specialist

    3 days ago

    New Providence, United States Wallingford Nursing & Rehab - Wallingford, PA Full time

    About the RoleWe are seeking a highly skilled MDS Clinical Reimbursement Coordinator to join our team at Wallingford Nursing & Rehab in Wallingford, PA. As a key member of our clinical operations team, you will play a critical role in ensuring accurate and timely reimbursement for our services.Key ResponsibilitiesManage the overall process and tracking of...

  • Clinical Reimbursement Specialist

    2 days ago

    New London, Connecticut, United States Signature HealthCARE Full time

    Join Our Team as a Clinical Reimbursement SpecialistAt Signature HealthCARE, we are seeking a highly skilled Clinical Reimbursement Specialist to join our team. As a Clinical Reimbursement Specialist, you will play a critical role in ensuring the financial integrity of our healthcare services.Key Responsibilities:Assist with the development and...

  • Healthcare Reimbursement Specialist

    4 days ago

    New Bedford, Massachusetts, United States LogixHealth Full time

    Job Title: Healthcare Reimbursement SpecialistLogixHealth is seeking a skilled Healthcare Reimbursement Specialist to join our team. As a key member of our revenue cycle management team, you will play a critical role in ensuring accurate and timely reimbursement for our clients.Key Responsibilities:Review and analyze insurance company reimbursements to...

  • Reimbursement Specialist

    4 weeks ago

    Denville, New Jersey, United States Prime Healthcare Management Inc Full time

    About the Role:Prime Healthcare Management Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received.Key Responsibilities:Under the supervision of the...

  • Reimbursement Specialist

    4 weeks ago

    Denville, New Jersey, United States Prime Healthcare Management Inc Full time

    Job Summary:The Reimbursement Specialist position is a critical role within Prime Healthcare Management Inc, responsible for ensuring accurate and timely payment analysis of managed care contracts. This position requires a high level of expertise in complex regulations, guidelines, and systems to determine optimal reimbursement.Key Responsibilities:Under the...

  • Reimbursement Specialist

    2 weeks ago

    New York, New York, United States Prime Healthcare Full time

    About the RolePrime Healthcare is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment analysis of managed care contracts to determine optimal reimbursement.Key ResponsibilitiesAnalyze payments received from insurance companies to ensure...

  • Field Reimbursement Specialist

    4 weeks ago

    New Orleans, Louisiana, United States RemX Full time

    Job OverviewField Reimbursement Specialist position available, focusing on the Gulf regions including Louisiana, Mississippi, and Alabama.This role involves traveling within your designated territory, engaging with healthcare providers three days a week.Essential Qualifications:Proficient in Prior Authorizations for Specialty Medications, Access and...

  • Field Reimbursement Specialist

    3 days ago

    New York, New York, United States Ascendis Pharma Full time

    Job Title: Field Reimbursement ManagerAscendis Pharma is a dynamic and fast-growing biopharmaceutical company with a strong presence in Denmark, Germany, and the United States. We are committed to advancing a pipeline of endocrinology rare disease programs that make a meaningful difference in people's lives.As a Field Reimbursement Manager, you will play a...

  • FEMA Recovery Specialist

    1 month ago

    Providence, Rhode Island, United States RealStreet Full time

    RealStreet Company - Exceptional Career OpportunitiesIn alignment with FEMA's Public Assistance initiative, we are seeking highly skilled and experienced professionals to contribute to disaster recovery operations.RealStreet is in search of qualified candidates to fill diverse positions within the architectural, engineering, and construction (AEC)...

  • FEMA Recovery Specialist

    1 month ago

    Providence, Rhode Island, United States RealStreet Full time

    RealStreet Company - Exciting Opportunities AvailableIn alignment with FEMA's Public Assistance initiative, we are in search of highly skilled and experienced professionals to support disaster recovery operations.RealStreet is seeking qualified candidates for various positions within the architectural, engineering, and construction (AEC)...

  • FEMA Recovery Specialist

    1 month ago

    Providence, Rhode Island, United States RealStreet Full time

    RealStreet Company - Exciting Opportunities AvailableIn alignment with FEMA's Public Assistance initiative, we are actively searching for exceptionally skilled and experienced professionals to support disaster recovery operations.RealStreet is seeking qualified candidates to fill diverse positions within the architectural, engineering, and construction (AEC)...

  • Chart Retrieval Specialist

    3 days ago

    Providence, Rhode Island, United States CIOX Health Full time

    Job Title: Chart Retrieval SpecialistWe are seeking a reliable and detail-oriented Chart Retrieval Specialist to join our team. As a Chart Retrieval Specialist, you will be responsible for retrieving medical records from healthcare facilities and uploading them to our secure servers.Responsibilities:Retrieve medical records from healthcare facilities using...

  • Marketing Communications Specialist

    5 days ago

    Providence, Rhode Island, United States American Mathematical Society Full time

    Job Title: Marketing Communications SpecialistWe are seeking a highly creative and experienced Marketing Communications Specialist to join our team at the American Mathematical Society. As a key member of our Communications and Marketing team, you will be responsible for developing and executing strategic marketing plans that inform, educate, or persuade...

  • Human Resources Staffing Specialist

    1 month ago

    New Providence, New Jersey, United States Marquis Health Services Full time

    Human Resources Staffing SpecialistExceptional Benefits AwaitJoin the dedicated team at Marquis Health Services and discover what sets us apart in the healthcare industry. Our facilities are modern and welcoming, supported by a compassionate and professional staff.Key Responsibilities:Manage staffing coordination and scheduling within a healthcare...

  • Bodywork Specialist

    4 days ago

    Providence, Rhode Island, United States Massage Envy Full time

    Unlock Your Potential as a Bodywork SpecialistAre you a certified personal trainer or licensed massage therapist looking to take your skills to the next level? Do you have a passion for helping others achieve their wellness goals? We're seeking a highly motivated and dedicated Bodywork Specialist to join our team at Massage Envy East Providence.Key...

  • Maintenance Specialist

    2 weeks ago

    Providence, Rhode Island, United States Trinity Management LLC Full time

    About the Role:Trinity Management, LLC is seeking a skilled Maintenance Specialist to join our team. As a Maintenance Specialist, you will play a critical role in ensuring the upkeep and maintenance of our properties, providing a safe and comfortable living environment for our residents.Key Responsibilities:Fulfill work orders and perform basic mechanical...

  • Echo Imaging Specialist

    4 weeks ago

    Providence, Rhode Island, United States LanceSoft Full time

    LanceSoft is in search of a skilled Echo Imaging Specialist for a travel position. Position Overview & RequirementsSpecialty: Echo ImagingDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 10 hours, daytimeEmployment Type: TravelBenefits: 401(k)Dental insuranceHealth insuranceLife insuranceReferral programTravel...

  • Data Base Maintenance Specialist

    2 days ago

    Providence, Rhode Island, United States PromptCare Companies Inc Full time

    Job Title: Data Base Maintenance SpecialistAt PromptCare Companies Inc, we are seeking a highly skilled Data Base Maintenance Specialist to join our team. As a key member of our team, you will be responsible for the oversight and maintenance of our CPR+/Caretend application related to the reimbursement function.Key Responsibilities:Maintain the integrity and...

  • Maintenance Specialist

    3 weeks ago

    Providence, Rhode Island, United States Trinity Management LLC Full time

    About the Role:Trinity Management, LLC is seeking a skilled Maintenance Specialist to join our team. As a Maintenance Specialist, you will play a critical role in ensuring the upkeep and maintenance of our properties, providing a safe and comfortable living environment for our residents.Key Responsibilities:Fulfill work orders and perform basic mechanical...

  • Chart Retrieval Specialist

    2 days ago

    Providence, Rhode Island, United States CIOX Health Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Chart Retrieval Specialist to join our team. As a Chart Retrieval Specialist, you will be responsible for retrieving medical records from various healthcare facilities and uploading them to our secure servers.ResponsibilitiesRetrieve medical records from healthcare facilities using Datavant...

Reimbursement Specialist

3 months ago

New Providence, United States PromptCare Companies Inc Full time
Job DescriptionJob DescriptionDescription:

PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. The ideal candidate will have experience in healthcare reimbursement and be able to work independently in a fast-paced environment. If you are a motivated individual with a passion for healthcare reimbursement, we encourage you to apply for this exciting opportunity. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion


Job Type: Full-time, 40hrs per week, Mon-Fri flexible schedule during the hours of 8am-5:30pm

Location: In-Office/Hybrid in New Providence, NJ


Requirements:
  • High School Diploma or equivalent
  • 2-3 years of experience in electronic claims submission and medical collections preferred
  • Working knowledge of insurance plans including but not limited to Medicare and Medicaid preferred
  • Industry experience with billing/collections in DME, home infusion and/or enteral preferred
  • Accounts receivable and accounting experience preferred
  • Knowledge of CPR+ preferred


Job Responsibilities, included but not limited to:

  • Document and input new referrals and patient admissions from start to finish
  • Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
  • Assist with collections as needed and identified in an overall weekly A/R review done by the Reimbursement Manager
  • Assist the Cash Poster as needed and identified by the Reimbursement Manager
  • Field and troubleshoot calls from patients regarding benefits, claims and patient balances
  • Pro-actively seek resolutions to any billing issues that may arise
  • Reporting/Documentation:
  • Billing documents as requested
  • Claim adjudication
  • Collection efforts and resolutions
  • Weekly status reports
  • Keeping the Infusion price table matrix up to date according to our payor contracts to ensure correct pricing in revenue.
  • Reading Claim EOB’s and correspondence for the posting of denials of non-paid claims
  • Running monthly eligibility reports and notating each patient account individually and alerting appropriate team member when necessary
  • Entering claim information when generated on Novologix website (minimal claims)
  • Other duties as assigned


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. It also requires the ability to lift files, open filing cabinets and bend or stand as necessary. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.


Benefits & Perks

  • Competitive Salary
  • Medical, Dental, Vision Package
  • 401(k) plan (discretionary)
  • PTO - Vacation, Sick and Personal days, and paid holidays
  • Referral bonuses & Discount Ticket Program
  • Lunch & Learn Programs
  • Employee Recognition Program


Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.