Reimbursement Specialist

5 days ago


San Diego, United States Insight Global Healthcare Full time
Job DescriptionJob Description

Rady Children's Hospital is looking for 1 Billing and Reimbursement Specialist to join their team to support an upcoming project. The Reimbursement Specialist is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the Reimbursement Specialist to make sure that the claims are clean and delivery tickets are accurate. Additionally this individual is responsible for inputting data into the systems, manually uploading claims, following up with AR and the payer to confirm receipt. Lastly if the claim is denied, the individual is responsible for resolving the issue themselves. This position is a 3 month contract with possible extension M-F 8:00am-4:30pm and can be done in a hybrid or remote setting. Equipment will be provided.

Hours: 5/8's

  • 8am- 4:30pm

Location:

  • Hybrid in San Diego Or Fully Remote PST Hours

Required Qualifications:

  • 3 years of experience in home Care pharmacy Billing Preferably in Commercial
  • Experience with HMO, PPO, capitated payers, Medicaid managed care payers
  • Experience with 340B guidelines and reg, factor drug billing, compound drug, TPN
  • Microsoft, outlook, teams, excel, word

Preferred Qualifications:

  • Experience with CPR+


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