Full-Time Reimbursement Specialist - Follow Up & Appeals

As a Reimbursement Specialist – Follow Up and Appeals, you play an important role in the overall success of the company. You will drive payment for our services, and by partnering with colleagues in Finance and Client Services. You will facilitate optimized billing processes and operations.

You’re responsible for tracking, reporting and addressing complex outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims, follow-up on claims, and drive positive coverage determinations through external appeals. You will manage documentation for appropriate payer communication, correspondence, and insurance claim research.

Essential Duties and Responsibilities:

• Accurate data entry of information into computer systems including notating accounts accurately
• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Effectively verify and communicate to patients and their families insurance eligibility, billing, collections and payment responsibilities
• Proves track record of written appeals with success
• Correctly interpret EOB’s for follow-up and/or appeals
• Follow appropriate HIPAA guidelines
• Work well individually and in a team environment accomplishing set goals
• Performs other related duties as assigned

A minimum 1-3 years of recent experience in both professional and facility coding, follow up & appeals, billing, and collections with high volume and/or multiple accounts. Experience with contacting and following up with insurance carriers on denials, filing reconsideration requests, formal appeals, and negotiations.

Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals, and national as well as regional payers throughout the country is a plus.

What is the last date for applying to the job?

Which countries are accepted for this remote job?