Medical Reimbursement Specialist
4 weeks ago
**Medical Reimbursement Specialist - Hybrid schedule**
**Ready to work for a rapidly growing Revenue Cycle Management company?** speroMD is a physician-owned Revenue Cycle company made up of individuals who are dedicated to providing the highest quality revenue cycle services to clients across the country. This exclusive company provides employees with growth opportunities, and the ability to support multiple medical specialties. The Medical Reimbursement Specialist position is unique because it supports all facets of the revenue cycle including billing, claims, appeals and payment posting.
**Job Functions**:
- Respond to inquiries and correspondence from insurance companies, patients, and other third party payers in a professional and timely manner.
- Refile/rebill claims as necessary, ensuring that all information contained on the claim is accurate and complete.
- Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed.
- Audit accounts for any necessary corrections, including updating coverage information.
- Maintain working knowledge of current procedural terminology, diagnosis codes, and insurance payer policies.
- Responsible for submitting appeals according to payor requirements
- Perform insurance verification to confirm member eligibility
- Contact insurance companies, patients, and other third party payers regarding claims status and payment, via telephone and written correspondence according to established standards.
- Respond to account inquiries while providing quality service by adhering to established customer service standards
- Demonstrate and support speroMD Core Values
**Minimum Qualifications**:
To perform this position successfully, an individual must be able to perform each job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
Required Education, Knowledge, Skills & Abilities:
- Knowledge of EPIC system is preferred
- Must have a working knowledge of Medicare, Medicaid and be familiar with commercial insurance billing and their respective plans.
- Ability to work independently and collaboratively within a team environment
- Ability to multi-task and meet deadlines
- Excellent problem-solving skills
- Understanding of payer policies in relation to billing
- Strong knowledge and level of comfort with Google Workspace
- Some knowledge of CPT and ICD-10 diagnosis coding preferred
- Minimum of High School Diploma required
- Strong written and verbal communication skills and a high level of organizational skills required
**Benefits**:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- Hybrid work
Application Question(s):
- How many years of appeal and denial experience do you have?
**Education**:
- High school or equivalent (preferred)
**Experience**:
- Medical billing: 2 years (preferred)
- Epic: 2 years (preferred)
Work Location: Hybrid remote in Northbrook, IL 60062
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