Clinical Reimbursement Expert

2 days ago


Bedford, Massachusetts, United States LogixHealth Full time
Job Overview

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.
Requirements:

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.
Benefits:

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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