Reimbursement Insurance Specialist

4 weeks ago


Knoxville, Tennessee, United States Helen Ross McNabb Center Full time
Reimbursement Specialist Job Summary

The Helen Ross McNabb Center is seeking a highly skilled Reimbursement Specialist to join our team. As a Reimbursement Specialist, you will play a critical role in ensuring that our clients receive the benefits they deserve.

Key Responsibilities:
  • Analyze eligibility reports to identify potential issues and resolve them in a timely manner.
  • Communicate with the Insurance Verification Team Leader to discuss any questions or problems related to insurance verification.
  • Adhere to all policies and procedures related to compliance with federal and state billing regulations.
  • Communicate with billing representatives to resolve any insurance issues that may arise.
  • Maintain a positive and professional attitude, and respond to emails and voicemails in a timely manner.
  • Work with members of various teams and/or departments to identify process improvements.
  • Assist in determining the proper course of action for resolving insurance issues.
  • Possess strong problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
  • Work in a high-stress/demanding environment and possess the ability to think outside the box.
Requirements:
  • High school diploma or equivalent required.
  • Extensive knowledge of insurance in relation to proper billing, follow-up, and verification duties.
  • Advance use of computer system, software, Excel, Outlook, and Microsoft.
  • Knowledge of Centricity is a strong plus.
  • Ability to work well in a team environment and alone, and possess strong written and verbal communication skills.
  • Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
  • Knowledge of the center's Policies and Procedures.
  • Ability to maintain records and prepare reports and correspondence related to the position.
  • Ability to work directly with upper leadership regarding claims issues and resolutions.
What We Offer:
  • A competitive starting salary of approximately $18.42/hour based on relevant experience and education.
  • A schedule of Monday - Friday, 8am - 5pm.
  • No travel required.
  • Basic computer skills required for email, timekeeping, scanning, and fax machine.
  • Advance use of computer system, software, Excel, Outlook, and Microsoft.


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