Reimbursement Specialist

2 weeks ago

Columbia, United States Maxim Healthcare Services Full time

Maxim Healthcare Services is hiring for a Reimbursement Specialist who will serve as liaisons between office partners, patients and payers. Daily responsibilities include reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts.

Why Join Maxim:

  • Competitive pay, tenured PTO program & weekly paychecks

  • Health, dental, vision, and life insurance

  • 401(k) savings plan with company matching

  • Employee discount program; partnered with hundreds of vendors nationwide

  • Awards and recognition program

  • Opportunity for career advancement

  • Comprehensive training and mentorship program

Responsibilities:

  • Processes and posts revenue, making changes as needed

  • Ensures sales have appropriate documentation such as nursing notes, worker timecards, authorization, purchase order, and other payer requirements as appropriate

  • Accurately generates claims and/or invoices of sales and bills a variety of payer sources via mail, fax, web portal or electronic clearinghouse

  • Researches and follows up on unpaid accounts after expected payment timeframe

  • Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment

  • Follows all quality processes for department/team to avoid preventable write-offs and improve collections efforts

  • Provide great customer service for our office partners, patients, other departments and payers

  • Keeps Team Leader informed of problem accounts or potential impacts to cash collections and A/R

Requirements:

  • High school diploma or equivalent is required; undergraduate degree preferred

  • Experience in medical billing, accounts receivables, and/or collections preferred

  • Quick and accurate Alpha/numeric data entry skills

  • Proficiency in Microsoft Office, including a working knowledge of Microsoft Word and Excel and Web-enabled applications

  • Excellent customer service skills, work ethic and commitment to job responsibilities

  • Must be a self-starter, with ability to work well as part of a team and independently

  • Must present a positive image that reflects well on the organization

  • Excellent written and verbal communication skills

Salary/Wages:

$20.00 per hour, $2,000 annual bonus potential

*Benefit eligibility is dependent on employment status. **Specific Benefits: Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account, 401(k) + Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death & Dismemberment Insurance, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance discounts, Pet Insurance, Transportation Benefits, Educational Assistance Program, College Partnership Program, Legal Benefits, Employee Discount Program, Paid Time Off/Company Holidays.

About Maxim Healthcare Services

Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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