Billing and Reimbursement Specialist
1 week ago
The Billing & Reimbursement Specialist I plays a crucial role in managing the financial operations of dialysis facilities. This position is responsible for ensuring the precise and effective billing and collection of health insurance payments from various insurance providers.
Key Responsibilities- Accurate Billing: Ensure correct billing and revenue collection for assigned financial classes.
- Claim Management: Obtain and monitor claim statuses through phone communications and online systems.
- Claims Appeals: Draft and follow up on appeals for denied claims.
- Adjustments Processing: Identify, address, and process necessary adjustments appropriately.
- Benefits Review: Analyze and comprehend Explanation of Benefits documents.
- Relationship Building: Establish and maintain effective relationships with insurance carriers and their representatives.
- Timely Allocations: Allocate coinsurance and deductibles promptly within the relevant database.
- Correspondence Management: Review and respond to incoming mail correspondence efficiently.
- Patient Communication: Engage with patients regarding insurance-related inquiries.
- Internal Collaboration: Work closely with other departments to ensure seamless operations.
- Adaptability: Demonstrate flexibility and a willingness to learn new skills as changes arise.
- Attention to Detail: Approach tasks with organization and maintain high accuracy standards.
- Reporting: Regularly complete and review facility reports for any discrepancies.
- Confidentiality: Uphold strict confidentiality regarding patient personal information.
- Compliance: Ensure adherence to HIPAA regulations and standards.
- Business Acumen: Understand the implications of decisions on business operations.
- Additional Duties: Perform other tasks and projects as assigned.
- Education: Bachelor’s degree in business or healthcare management - REQUIRED
- Experience: Minimum of 2 years in billing and reimbursement or equivalent experience with medical insurance providers - REQUIRED
- Industry Knowledge: Experience in dialysis or healthcare settings - REQUIRED
- Technical Skills: Proficiency in Microsoft Office Suite - REQUIRED
- Excel Skills: Knowledge of Excel, including PivotTables and VLOOKUP - REQUIRED
Interviews will be conducted via video conferencing, and candidates are expected to have their cameras on throughout the session. There may be multiple supervisors or managers involved in the interview process.
Work ScheduleThis position does not require weekend work or on-call duties.
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