Billing Reimbursement Collection Specialist
POSITION SUMMARY:
The Billing Reimbursement Collection Specialist is responsible for ensuring cash flow for services provided. The individual in this position may cross train in more than one area of A/R Management. In general, the Representative is responsible for communicating understanding payer specific billing rules related to certain specialties including Medications, The Representative may also be responsible for the timely follow up of open claims for their assigned insurance carriers, correcting claim rejections, reviewing denied claims, filing appeals and working special projects.
PRIMARY DUTIES AND RESPONSIBILITIES:
- Ability to analyze and review insurance billing requirements
- Understanding insurance payments and copays
- Communications with responsible parties on balance due
- Monitor pending Medicaid, Work with social workers and facilities on Act 52’s
- Review accounts for Insurance corrections
- Communicate with Facilities on cut reviews
- Ability to communicate clearly in emails/notes providing information needed for account resolution
- Perform special projects as needed
EXPECTATIONS OF EMPLOYEE:
- High school education or equivalent required
Ability to Lift 25 lbs
- Medical billing experience preferred
- Strong communication skills both written, verbal and presentation
- Computer skills including excel