Reimbursement Specialist

1 month ago

Fall River, United States Meeting Street Full time
Looking for a rewarding career that makes a difference in children's lives? Look no further and join the team at Meeting Street Meeting Street is a special place of learning, where children of all abilities have the opportunities to reach their fullest potential.

Full-time employees receive:
  • Competitive Pay
  • Generous PTO
  • 13 paid holidays
  • Medical, dental, vision and MORE

Meeting Street is currently looking for a Reimbursement Specialist in Early Intervention working 40 hours weekly.

Duties:
  • Reviews referral information, forms, and other billing information received to ensure accuracy and completeness.
  • Confirms client benefits have been verified prior to entering bills and monitors ongoing eligibility verification.
  • Maintains EI Client Billing Database.
  • Verifies/retrieves benefit coverage and authorizations.
  • Reviews and corrects EI data via MH EVS System.
  • Enters EI insurance information to EICS system.
  • Handles telephone inquiries to insurance companies.
  • Maintains knowledge of DPH billing rules and regulations.
  • Produces reports for administrative team.
  • Submits claims with required documentation to payers; including paper and electronic claims.
  • Establishes good rapport and cooperative working relationships with agency personnel as well as referral sources and third party payer contacts.
  • Initiates continuous process improvements both in area of own responsibility and in related areas

Requirements:
  • High school diploma or GED.
  • Minimum of two years' experience in third party billing/collections required.
  • Prior experience in a health care environment.
  • Knowledge of electronic claims processing.
  • Ability to work independently

Meeting Street believes the dignity of each person is paramount. We recognize that our community's future strength rests firmly on our commitment to our values of respect, compassion, integrity, inclusivity, and excellence. To uphold these commitments, we expect all employees to recognize and properly respond to racism and other forms of injustice.

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