Insurance Reimbursement Coordinator

2 weeks ago

New Providence, New Jersey, United States PROMPT CARE COMPANIES INC Full time

Job Type

Full-time

Position Overview

PromptCare is on the lookout for a dedicated and detail-oriented Insurance Reimbursement Coordinator to enhance our Accounts Receivable (AR) team. This role involves managing patient billing and collections, requiring expertise in insurance data collection, verification, and authorization processes. The ideal candidate will possess a solid background in healthcare reimbursement and demonstrate the ability to work autonomously in a dynamic environment. If you are passionate about healthcare reimbursement, we invite you to explore this rewarding opportunity.

Work Schedule

Full-time, 40 hours per week, Monday to Friday with a flexible schedule during standard business hours.

Location

In-Office/Hybrid.

Qualifications

  • High School Diploma or equivalent.
  • 2-3 years of experience in electronic claims submission and medical collections is preferred.
  • Familiarity with various insurance plans, including Medicare and Medicaid, is preferred.
  • Experience in billing/collections within DME, home infusion, and/or enteral is preferred.
  • Background in accounts receivable and accounting is preferred.
  • Knowledge of CPR+ is a plus.
Key Responsibilities
  • Document and manage new referrals and patient admissions from initiation to completion.
  • Support the PBM and Billing Specialist with billing issues, backlogs, and end-of-month processes.
  • Assist with collections as identified in weekly A/R reviews conducted by the Reimbursement Manager.
  • Provide support to the Cash Poster as needed, as directed by the Reimbursement Manager.
  • Handle and resolve patient inquiries regarding benefits, claims, and balances.
  • Proactively address and resolve any billing discrepancies that may arise.
  • Reporting and Documentation:
  • Prepare billing documents as required.
  • Oversee claim adjudication processes.
  • Manage collection efforts and resolutions.
  • Compile weekly status reports.
  • Maintain the Infusion price table matrix in accordance with payor contracts to ensure accurate revenue pricing.
  • Review Claim EOBs and related correspondence for denial postings.
  • Generate monthly eligibility reports, documenting each patient account and notifying the appropriate team member when necessary.
  • Enter claim information as needed on the Novologix website.
  • Perform other duties as assigned.
Physical Requirements

The physical demands outlined here are representative of those that must be met by an employee to successfully perform the essential functions of this role. While executing the responsibilities of this position, the employee is regularly required to communicate effectively. The role also necessitates the ability to lift files, access filing cabinets, and bend or stand as needed. Occasionally, the position may require lifting office supplies and products weighing up to 20 pounds.

Benefits & Perks
  • Competitive Salary.
  • Comprehensive Medical, Dental, and Vision Package.
  • 401(k) plan (discretionary).
  • Paid Time Off - including vacation, sick, personal days, and holidays.
  • Referral bonuses & Discount Ticket Program.
  • Lunch & Learn Programs.
  • Employee Recognition Program.
Equal Employment Opportunity

PromptCare Companies is committed to fostering an inclusive work environment and prohibits discrimination based on race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran status, or any other characteristic protected by law. We strive to create a workplace where diversity and inclusion are celebrated, and all employees are treated with respect and dignity.

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