Reimbursement Specialist
4 days ago
Maxim Healthcare Services is seeking a highly skilled Reimbursement Specialist to join our team. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for our patients. Your expertise will help us maintain high-quality patient care while also driving business growth.
Key Responsibilities- Process and post revenue, making changes as needed to ensure accurate reimbursement
- Ensure sales have appropriate documentation, including nursing notes, worker timecards, authorization, purchase orders, and other payer requirements
- Accurately generate claims and/or invoices of sales and bill a variety of payer sources via mail, fax, web portal, or electronic clearinghouse
- Research and follow up on unpaid accounts after expected payment timeframe
- Correct, resubmit claims, and/or appeal claim determinations as necessary to ensure payment
- Follow all quality processes for the department/team to avoid preventable write-offs and improve collections efforts
- Provide great customer service for our office partners, patients, other departments, and payers
- Keep Team Leader informed of problem accounts or potential impacts to cash collections and A/R
- 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 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
Maxim Healthcare Services offers a competitive salary, comprehensive benefits package, and opportunities for career advancement. We are an equal opportunity employer and welcome applications from diverse candidates.
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