Billing & Reimbursement Specialist
24 hours ago
Billing & Reimbursement Specialist - Revenue Cycle
This is a remote position.
Overview:
The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates, documents, and communicates with health insurance representatives regarding proper insurance payments in accordance with policies and procedures and current federal, state, and local standards, guidelines, and regulations.
Essential Functions:
- Billing and Collections: Oversee accurate billing and revenue collection for assigned financial classes, ensuring compliance and precision.
- Claims Management: Obtain and monitor claim status via phone and online portals; prepare and track appeals as needed.
- Insurance and Patient Interaction: Communicate professionally with insurance carriers and patients regarding billing, claims, and payments.
- Adjustments and Allocations: Accurately allocate coinsurance and deductibles and process necessary claim adjustments.
- Mail and Correspondence Management: Review and address all incoming mail and correspondence promptly.
- Collaboration and Reporting: Work effectively with internal departments, maintain regular facility reports, and ensure issues are promptly identified and addressed.
- Adaptability and Growth: Stay flexible to evolving processes and demonstrate a commitment to learning new skills.
- Compliance and Confidentiality: Maintain HIPAA compliance and uphold strict confidentiality with all patient information.
Education and Experience:
- Bachelor’s degree in business, healthcare management, or related is strongly preferred.
- 0-2 years of experience as a Billing and Reimbursement Specialist or equivalent work experience in insurance collections.
- Experience in dialysis and/or healthcare is preferred.
- Proficiency in Microsoft Office Suite with strong Excel skills preferred.
- Excellent communication skills and customer service skills with the demonstrated ability to actively contribute as a team player.
- Exceptional attention to detail, with the ability to maintain accuracy while working in a fast-paced environment.
- Ability to manage multiple tasks effectively and remain flexible with changing priorities.
Why choose Innovative Renal Care?
Innovative Renal Care (IRC) provides high-quality care to patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions. Together, we are one of the largest dialysis service providers in the United States. We partner with local physicians, enabling them to provide exceptional dialysis care to patients.
Our team lives by our values of Integrity, Innovation, Compassion, Accountability, Results Driven and Everyone Counts
- Innovation & Integrity - Deliver on our promises with dedication and clarity. Engage and empower others by sharing ideas and successes.
- Compassion - Treat patients and their families with the utmost respect and empathy.
- Accountability - Take ownership when resolving issues and solving problems, trusting others to support us.
- Results Driven - Keep raising the bar for our own performance, helping, and encouraging our colleagues to do the same.
- Everyone Counts - Respect people of all backgrounds. Strive to create a diverse and equitable workplace.
Equal Opportunity Employer:
Innovative Renal Care is an equal opportunity employer and a drug free workplace. All qualified We applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
-
Billing & Reimbursement Specialist
2 weeks ago
Remote, United States Innovative Renal Care Full timeBilling & Reimbursement Specialist - Revenue Cycle This is a remote position. Overview: The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates,...
-
Remote, United States Innovative Renal Care Full timeBilling & Reimbursement Supervisor - Revenue Cycle Location: Remote or hybrid with the ability to travel to and work from office located in Franklin, TN or Beverly, MA on occasion. Overview: As the Supervisor of Billing & Reimbursement, you’ll lead our team of Billing & Reimbursement Specialists to ensure timely, accurate insurance billing,...
-
Healthcare Billing Specialist
3 weeks ago
Remote, Oregon, United States LabCorp Full timeHealthcare Billing Specialist Job DescriptionLabCorp is seeking an entry-level Healthcare Billing Specialist to join our team. As a Healthcare Billing Specialist, you will be responsible for processing and managing healthcare claims, ensuring accurate and timely billing activities.Key Responsibilities:Process and manage healthcare claims, ensuring accurate...
-
Healthcare Billing Specialist
3 weeks ago
Remote, Oregon, United States LabCorp Full timeJob Title: Healthcare Billing SpecialistJob Summary:LabCorp is seeking a skilled Healthcare Billing Specialist to join our team. As a key member of our Revenue Cycle Management Division, you will play a critical role in ensuring the accurate and timely processing of healthcare claims.Responsibilities:Billing Data Entry: Enter accurate and complete billing...
-
Billing Specialist
4 weeks ago
Remote, Oregon, United States Vasquez Law Firm PLLC Full timeBilling Specialist Job DescriptionVasquez Law Firm PLLC is seeking a highly skilled Billing Specialist to join our team. The ideal candidate will have a strong background in accounting and billing, with excellent communication and organizational skills.Key Responsibilities:Review and edit bills for accuracy and completenessCoordinate with billers to ensure...
-
Senior Reimbursement Specialist
3 weeks ago
Remote, Oregon, United States Caris Life Sciences Full timeAbout the RoleThe Molecular Oncology Specialist is a senior sales role primarily responsible for establishing growth within an assigned territory through new account acquisition.The responsibilities include identifying, prospecting, and closing new business at potential accounts, mentoring the Account Managers within the territory by acting as the Subject...
-
Claims and Billing Coordinator
4 weeks ago
Remote, Oregon, United States SquareDash Full timeWe are seeking a detail-oriented and organized Claims & Billing Specialist who has a passion for client satisfaction to join our Revenue Cycle Management team.This role will be cross-trained to handle property owner billing as well as claim funding procedures on behalf of our clients.The ideal candidate will play a crucial part in ensuring accurate invoicing...
-
Remote, United States Inova Health System Full timeThe Sr. Reimbursement Specialist directs development & illustrates the impact of proposed & final Federal/State regulations to staff and senior Management. Directs the development of contractual allowances for budget projections & monthly & year-end financial statements. Manages and directs the preparation and/or review of preliminary & filed...
-
Reimbursement Specialist
3 weeks ago
Remote, United States Guardant Health Full timeJob Description Location: Remote, 3-Days Hybrid, and 5-Days Onsite Options Shift: 9:30 AM - 6:00 PM PST, Tuesday - Saturday Shift As a Reimbursement Specialist, Order Entry, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by partnering with...
-
Charge Reconciliation Specialist
1 week ago
Remote, United States Innovative Renal Care Full timeCharge Reconciliation Specialist This is a remote position. Overview: The Charge Entry Reconciliation Specialist provides proofing, reconciliation, and billing support to the clinical and corporate office staff. In this role, you will support accurate dialysis claim processing, billing corrections, and coordination with clinical staff, ensuring services...
-
Molecular Oncology Specialist
3 weeks ago
Remote, Oregon, United States Caris Life Sciences Full timeJob SummaryThe Molecular Oncology Specialist is a senior sales role primarily responsible for establishing growth within an assigned territory through new account acquisition.Key ResponsibilitiesSell oncology services and products such as Molecular Intelligence to Oncologists.Provide business solutions to community Oncologists.Analyze business opportunities...
-
Credentialing Specialist
3 weeks ago
Remote, United States Element RCM Full time*Job Mission*A Credentialing Specialist’s primary job is to ensure that the personnel of a facility, mainlyhealthcare, are properly trained, licensed and certified as mandated by state and federalregulations. In addition, they ensure that all services offered by these industries meetstandards set by state and federal government agencies. A Credentialing...
-
Revenue Cycle Audit
5 months ago
Remote, United States CSI Pharmacy Full timeDescription Job Title: RCM Audit/Training SpecialistStatus: Full TimeReports to: VP, Revenue CycleWork Place: Remote with occasional travelJob Details:Under the general direction of the VP, Revenue Cycle, the RCM Audit Specialist facilitates the review of medical claim submission in accordance with state, federal, and payer guidelines to ensure...
-
DRG Integrity Specialist
3 weeks ago
Remote, United States Accuity Full timeDescription:Accuity was founded in 2016 with the goal of reinventing the Clinical Documentation Process through MD case review, and MD to MD education. Over the last six years, we have experienced rapid growth and are excited to continue in growing our team nationwide. Learn more about us at www.accuityhealthcare.com.As a valued member of the DRG Review...
-
Accounts Receivable Specialist
2 weeks ago
Remote, United States Accuserve Solutions Full time*About Accuserve:*Accuserve is a Managed Repair Experience Company focused on simplifying and humanizing the restoration process for people during critical times. As a network of claims and restoration experts, we’re committed to making repair experiences more efficient, compassionate, and reliable. Our team is made up of innovators, community leaders, and...
-
Accounts Receivable Specialist L2
2 months ago
Remote, United States NTT Full timeJOB DESCRIPTION Make an impact with NTT DATA Join a company that is pushing the boundaries of what is possible. We are renowned for our technical excellence and leading innovations, and for making a difference to our clients and society. Our workplace embraces diversity and inclusion – it’s a place where you can grow, belong and thrive. Your day at...
-
Accounts Receivable Specialist L2
1 month ago
Remote, Oregon, United States NTT Full timeJob DescriptionAbout the RoleThe Accounts Receivable Specialist Level 2 will play a critical role in leading client collections, customer contract maintenance, and ensuring timely payments. This position will be responsible for championing A/R billing and collections for all Global Data Centers Americas companies, maintaining positive customer relationships,...
-
AP Specialist
1 month ago
Remote, Oregon, United States The O'Connor Group Full timeAP Specialist Job DescriptionThis is a remote position that involves managing daily Accounts Receivable (A/R) and Accounts Payable (A/P) tasks, ensuring accurate financial data entry across the company's various software systems, and supporting accounting processes.Key Responsibilities:Oversee daily A/R activities, including maintaining accurate physical and...
-
Revenue Specialist
3 weeks ago
Remote Colorado, United States Sonora Quest Full timePrimary City/State:Colorado, ColoradoDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$17.10 - $25.66 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.POSITION SUMMARYThis position coordinates and facilitates all insurance claim submissions, claim rejections,...
-
Revenue Specialist
3 weeks ago
Remote Colorado, United States Sonora Quest Full timePrimary City/State:Colorado, ColoradoDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$17.10 - $25.66 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.*Experience working with Colorado payors a plus.POSITION SUMMARYThis position coordinates and facilitates all...