Healthcare Reimbursement Specialist

5 days ago


Monroeville, Pennsylvania, United States US Tech Solutions Full time

Job Summary:

Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. This role requires strong communication and interpersonal skills to work with LTC facility staff, prescribers, third-party payers, patients, and claim processors.

Key Responsibilities:

  • Qualify, prepare, and submit claims to Medicare Part B, Major Medical, and Medicaid
  • Work with LTC facility staff, prescribers, third-party payers, patients, and claim processors
  • Utilize several operating systems and web-based programs to retrieve document images, collect supporting information, and work claims to resolution
  • Ensure compliant, timely, and accurate billing practices

Requirements:

  • Minimum 1 year experience in healthcare reimbursement, medical insurance/billing, or related work
  • Minimum 1 year experience working with healthcare reimbursement systems
  • Ability to prioritize daily tasks
  • Working knowledge of medical terminology
  • Customer service skills with the ability to work in a team environment
  • Experience in MS Word, Excel, and Outlook

Working Conditions:

This is a remote position with occasional on-site work required. The ideal candidate will be highly organized, detail-oriented, and able to work in a fast-paced environment.



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