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Reimbursement, Reimbursement Specialist (Medical Records Focus)(Remote)
7 days agoWhat's your preference?
Job Description
- Req#: 3934756
Employer Industry: Biotechnology
Why consider this job opportunity:
- Salary range up to $47,277 annually
- Excellent annual salary plus 20% bonus potential
- 20 accrued PTO days annually and 10 paid holidays
- 401K with 100% company match up to 6%
- Company stock grant upon hire and $75/month reimbursement for internet service
- Work remotely from your home office based in the USA
What to Expect (Job Responsibilities):
- Resolve insurance claims for laboratory test services requiring medical record documentation
- Communicate with ordering clinicians and their staff to obtain necessary patient medical records
- Analyze received records to ensure all required documentation is included and secure any missing information
- Prepare medical record cover letters and submit documentation to demonstrate medical necessity
- Create custom submission letters to support claim processing according to payer policies and regulations
What is Required (Qualifications):
- High School Diploma or equivalent, GED, or equivalent work experience
- Minimum of two years of health insurance billing experience, including reviewing medical records
- In-depth experience reading and interpreting medical record documents and payer medical policies
- Experience handling a high volume of claims work (32 plus claims per day)
- Ability to type 35 WPM with 90% or higher accuracy
How to Stand Out (Preferred Qualifications):
- Experience in a role focused on medical records and insurance claims processing
- Familiarity with CMS medical documentation requirements and state laws related to medical claims
#Biotechnology #RemoteWork #ClaimsProcessing #CareerOpportunity #HealthcareBilling
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