Clinical Reimbursement Expert
2 days ago
The Clinical Reimbursement Expert will be part of a fast-paced environment working with department management teams to provide cutting-edge solutions that directly improve the healthcare industry.
This role is an excellent opportunity for a skilled reimbursement analyst to contribute to our collaborative environment and bring their expertise to review reimbursements and issues in Carrier Payment Audits.
Key Responsibilities:- Conduct thorough reviews of all insurance company reimbursements in all practices for all providers.
- Identify and resolve reimbursement issues using software or other resource tools.
- Prepare audit results and keep department managers informed of findings and audits, advising as necessary.
- Train new hires on auditing procedures and assist in auditing their work after release from training.
To perform this job successfully, candidates must possess strong technical skills, excellent interpersonal communication, and analytical skills.
The ideal candidate will have 1-2 years of experience in a fast-paced environment, well-rounded knowledge of insurance payers, proficiency in MS 365 including Teams, Word, Excel, and Outlook, and excellent written and verbal communication skills.
Preferred Qualifications:- 1-2 years of third-party billing experience.
We offer a comprehensive benefits package including health, dental, and vision insurance, 401(k), paid time off, paid holidays, life and disability insurance, on-site fitness center, and company-wide social events.
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