Insurance Billing Specialist
2 weeks ago
Company: PromptCare Companies Inc
We are in search of a dedicated and detail-oriented Reimbursement Specialist to become a vital part of our Accounts Receivable (AR) team. This role is essential for managing patient billing and collections, requiring proficiency in all aspects of insurance data collection, verification, and authorization.
Key Responsibilities:
- Document and manage new referrals and patient admissions comprehensively.
- Support the Pharmacy Benefit Manager (PBM) and Billing Specialist with billing challenges and month-end processes.
- Assist in collection efforts as identified during weekly Accounts Receivable reviews.
- Provide support to the Cash Poster as directed by the Reimbursement Manager.
- Handle inquiries from patients regarding their benefits, claims, and outstanding balances.
- Proactively resolve any billing discrepancies that may arise.
- Prepare and maintain necessary documentation including billing documents, claim adjudications, and collection reports.
- Update the Infusion price table matrix according to payer contracts to ensure accurate revenue pricing.
- Analyze Claim Explanation of Benefits (EOBs) and correspondence to manage denials of unpaid claims.
- Run monthly eligibility reports and update patient accounts accordingly.
- Enter claim information as needed on the designated platforms.
- Perform additional duties as assigned.
Physical Requirements:
This position requires the ability to communicate effectively, lift files, open filing cabinets, and stand or bend as necessary. Occasionally, the role may require lifting office supplies up to 20 pounds.
Benefits:
- Competitive salary structure.
- Comprehensive medical, dental, and vision benefits.
- 401(k) plan with discretionary contributions.
- Paid time off including vacation, sick leave, and holidays.
- Referral bonuses and employee discount programs.
- Opportunities for professional development through Lunch & Learn sessions.
- Employee recognition initiatives.
Commitment to Diversity:
PromptCare Companies is committed to fostering an inclusive workplace that values diversity. We ensure equal employment opportunities and prohibit discrimination based on race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic information, disability, veteran status, or any other characteristic protected by law.
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