Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on the reimbursement process
- Engage in a fast-paced environment with production and quality standards
- Work with a diverse team that values inclusion and equality

What to Expect (Job Responsibilities):
- Research and determine claim denials and take appropriate action for payment within federal, state, and payor guidelines
- Identify consistent payor or system trends that result in underpayments, denials, and errors
- Escalate claim issues with payors when appropriate and meet with leadership to resolve reimbursement obstacles
- Obtain necessary medical records and information to facilitate payment from payors
- Respond to inquiries from patients regarding their accounts, processing charity and payment plans as needed

What is Required (Qualifications):
- Minimum of 3 years of experience in the medical reimbursement field
- Ability to read and understand Explanation of Benefits (EOBs)
- Proficient in MS Excel, MS Word, and PDF editing software
- High School Diploma or GED equivalent, with some college-level courses preferred
- Ability to communicate confidently with insurance representatives and patients

How to Stand Out (Preferred Qualifications):
- Experience in billing 1500 and UB04 claim forms
- Understanding of non-contracted and contracted payer behaviors
- Knowledge of medical terms and ability to operate office equipment
- Typing speed of 45 wpm and proficiency in 10-key by touch

#HealthcareServices #MedicalReimbursement #CareerOpportunity #DiversityAndInclusion #ClaimsManagement

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