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Reimbursement Specialist

2 months ago

Plymouth Meeting, United States Synergy Orthopedics Full time
Job DescriptionJob Description

Objective:
The Reimbursement Specialist will be expected to follow up on open claims and maintain patient information. The individual will also process denials and appeals to assure collections.

Key Functions:

  • Work claims and claim denials to ensure maximum reimbursement for services provided via insurance portals and/or phone calls
  • Prepare appeals and follow up on claims
  • Collections and payment posting
  • Analyze and correct any billing errors such as HCPC, diagnosis, modifiers, etc.
  • Develop and maintain relationships with insurance companies and other third party payers
  • Work closely with patients to address payment questions and resolve collection issues
  • Work closely with management and field sales force as needed

Competencies :

  • Detail orientated and dependable
  • Excellent patient communication and customer service skills
  • Knowledge of governmental regulations, including HIPAA, OSHA, and other compliance programs
  • Ability to be firm and aggressive with third party payers to secure pre-certs and collect cash

Qualifications:

  • Minimum of 2 years experience in medical billing and collecting
  • DME experience is preferred
Company DescriptionSynergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products focused on serving Patients and Physicians in the PA, NJ, DE, MD and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.Company DescriptionSynergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products focused on serving Patients and Physicians in the PA, NJ, DE, MD and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.