Reimbursement Specialist

4 weeks ago

Columbia, South Carolina, United States Maxim Healthcare Services Full time

Maxim Healthcare Services is seeking a Reimbursement Specialist to serve as a liaison between office partners, patients, and payers.

Daily responsibilities include reviewing office sales for appropriate documentation, generating and billing claims and invoices, and following up on unpaid accounts.


Key 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
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 the expected payment timeframe
Corrects, resubmits claims, and/or appeals claim determinations as necessary to ensure payment
Follows all quality processes for the department/team to avoid preventable write-offs and improve collections efforts
Provides great customer service for office partners, patients, other departments, and payers
Keeps the 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 the 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

Benefits:
$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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