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Reimbursement Specialist/ Medical Claims

Malvern, PA | Temp to Hire

Post Date: 05/31/2018 Areas of Expertise: Office Positions Pay Rate: $15.50/hour

Seeking multiple Reimbursement Specialists for a healthcare company in Malvern!

This is a temp-hire position with full-time hours, Monday- Friday 10am-630pm.

Pay: $15.50/hour, once perm $16.50/hour

Reimbursement Specialist Job Description:

  • Can perform two (2) out of the three (3) functions as defined below with direct supervision:
    • Billing-
    • Billing claims to payors
    • Work acknowledgements and billing error reports
  • Identify and resolve claim issues
  • Remittance-
    • Timely and accurate application of all payor remittances to customer accounts.
    • Reconcile against deposit detail to ensure that all transactions have been posted.
    • Work with Finance, Payor Relations, and external customers to facilitate the resolution of discrepancies caused by over or short payments made by the payor.
  • Collections-
  • Customer Service
    • Interact with external/internal customers as necessary to resolve problems and expedite payments
    • Obtain status of outstanding claims
  • Problem Solving/Troubleshooting
    • Follow-up on outstanding AR balances by utilizing system work queues
    • Ensure timely and accurate processing of re-bills to the appropriate insurance companies.
    • Provide detailed information regarding problem payors to management
  • File Appeals
    • Submit appeals based on denials from payor
    • Provide suggestions for solutions to management

Reimbursement Specialist Requirements:

  • High school diploma or equivalent; Bachelor’s Degree in Accounting, Finance, Economics, Business Administration or related field preferred
  • Up to three years’ experience- Reimbursement Specialist I
  • Computer experience required: Microsoft Office – Excel, Word, Outlook, PowerPoint
  • Must be a self-starter, detail oriented
  • Strong mathematical skills

Preferred:

  • Reimbursement/billing/collections experience in Medicare, Medicaid, Managed Care, and Third Party Insurance in the healthcare industry
  • Knowledge in ICD9 and Procedures; benefit plans/eligibility; EOB’s/EOMB’s
  • Experience working with authorizations, and medical terminology and/or healthcare/HIPAA-regulated environment is a plus

 

Alyssa Mahoney

Alyssa has been in the staffing industry for 5 years. She places top talent in the accounting/finance, human resources, and office/call center areas. She has experience recruiting nationwide and assisting job seekers in their next career.
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