Reimbursement Specialist, $16/hour

4 weeks ago


Knoxville, United States StaffSource Full time
Job DescriptionJob Description

Position Overview: We are seeking a skilled Reimbursement Specialist to join our team, contributing to the financial health of our patients by navigating insurance complexities. As a Reimbursement Specialist, you will play a pivotal role in ensuring accurate reimbursements and assisting patients in understanding their insurance benefits, denials, and payment processes.

Responsibilities:

  • Adherence to Compliance: Maintain strict adherence to policies and procedures, upholding ethical standards in reimbursement practices.
  • Eligibility Verification: Confirm eligibility and benefits for various treatments, hospitalizations, and procedures, providing clarity to patients.
  • Payment Accuracy: Scrutinize insurance payments for accuracy and compliance with contractual agreements.
  • Claims Management: Utilize advanced software to prepare and review claims, ensuring precision and compliance.
  • Secondary/Tertiary Billing: Identify and bill secondary or tertiary insurances, optimizing reimbursement opportunities.
  • Payment Plans: Assist patients in establishing suitable payment plans, considering their financial circumstances.
  • Additional Responsibilities: Contribute to the efficiency of the reimbursement process by managing other assigned duties.

Qualifications:

  • Insurance Expertise: Comprehensive knowledge of insurance guidelines, including HMO/PPO, Commercial Medicare, Medicare Advantage, TN Care's, and Medicaid.
  • Technological Proficiency: Comfortable with computers, possessing proficiency in MS Office products.

Skills and Attributes:

  • Meticulous attention to detail and accuracy in reimbursement procedures.
  • Analytical mindset with strong problem-solving skills.
  • Excellent communication skills for effective patient and insurance interactions.
  • Adaptability to changes in insurance policies and procedures.
  • Team-oriented approach, fostering collaboration for collective success.

Schedule:  Monday-Friday 8AM-5PM 

Pay Rate:  $16/hour 



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