Healthcare Claims Reimbursement Specialist

6 days ago


Aragüés del Puerto, Huesca, United States North American Partners In Anesthesia Full time

Company Overview

North American Partners in Anesthesia is a leading healthcare organization that offers innovative anesthesia solutions to patients and hospitals across the United States.

Salary

The estimated annual salary for this position is between $60,000 to $80,000 depending on location and experience. In addition to a competitive salary, we offer a comprehensive benefits package including paid time off, health insurance, and 401(k) matching.

Job Description

We are seeking an experienced Healthcare Claims Reimbursement Specialist to join our team. As a Healthcare Claims Reimbursement Specialist, you will be responsible for coordinating, monitoring, and managing the follow-up on unpaid claims. This includes identifying, researching, and ensuring timely processing of billing errors and corrections as they relate to claims.

You will also be responsible for reviewing and working all daily correspondence, appealing denied claims via mail, telephone, or websites, and performing audits on accounts when needed to review for accuracy.

In addition, you will update accounts with information obtained through correspondence and telephone, contact patients, referring providers, or hospitals to obtain better insurance information, authorization, or updated patient demographics to assist with collections.

You will maintain accurate records of the steps taken to collect on an account and pitch in to help the completion of the daily AR Representative 2 workload to support AR team productivity and outcome measures.

Required Skills and Qualifications

To be successful in this role, you will need:

  • A high school diploma or equivalent certification required
  • An associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience
  • 3-5 years of healthcare claims reimbursement and denial resolution experience
  • Knowledge of major commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer guidelines

Benefits

As a member of our team, you will enjoy a range of benefits, including:

  • Paid Time Off
  • Health, life, vision, dental, disability, and AD&D insurance
  • Flexible Spending Accounts/Health Savings Accounts
  • 401(k)
  • Leadership and professional development opportunities

Location

This is a virtual position, but we prefer candidates to be based in one of the following locations: Melville, NY; Raleigh, NC; Syracuse, NY; Fairfax, VA; or Sunrise, FL.

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.



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