Reimbursement Specialist

The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers. Hospice or Part A experience is helpful. Commercial payer experience is a must. Candidates should have strong critical thinking skills, excellent follow-up abilities, and hands-on experience working with clearinghouses and commercial payers. 

$25hr

8 hour days 40 hr a week

Job Responsibilities:

-Accurately perform mathematical computations and audit data to detect errors.

-Continuously works with rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Insurance providers.

-Properly document accounts clearly and status activity.

Minimum of one (1) year of current applicable experience.

-Ability to work well within a team environment and manage assigned tasks independently.

-Strong interpersonal, communication, and customer service skills.

-Knowledge and familiarity with medical terminology. -Strong PC skills, including proficiency in Microsoft Office Suite, database applications, and medical billing applications.

-Ability to keyboard 30 wpm. Preferred Skills & Experience:

-One (1) year of previous home health billing-related experience.

-Experience in collections with Medicaid, Managed Care/Insurance, and Private Payers.

-Wellsky (Kinnser) experience.

Required Education: -High School diploma or GED.

Preferred Education: -Associate’s degree.

Required Certifications & Licensure: -N/A Preferred Certifications & Licensure: -N/A