• Job Description

  Req#: 3199699
  Job Type
  
  Full-time
  
  Description
  
  Job Grade: 4
  
  Purpose of job:
  
  The Reimbursement Specialist is responsible for managing outstanding worker's compensation claims by collecting payments, resolving billing issues, and minimizing the number of uncollectable accounts. The ideal candidate will be results-driven and able to focus on key performance metrics to ensure quality and efficiency standards set forth by the company are met.
  
  Main Duties
  
  • Contact insurance payers, employers, or responsible parties in an effort to collect on outstanding accounts receivables.
  • Identify and resolve improper payments, incorrect denials, billing errors and payer discrepancies.
  • Compile accurate and effective appeals and disputes to the appropriate payers and state divisions.
  • Ensure individual and department goals are met, specifically:
  
  - Reduce the number of past due accounts through timely follow-up;
  
  - Reduce the number of past due accounts through escalation and claim resolution;
  
  - Increase cash performance through effective and persuasive collection attempts;
  
  - Reduce the number of days in AR for uncollectable accounts
  
  • Research, compile, maintain and manage quality data related to collection efforts.
  • Provide feedback to management regarding payer issues, underpayments and denial trends.
  
  
  Requirements
  
  Qualifications:
  
  • High school diploma or equivalent
  • General Office Knowledge (Microsoft Excel and Word)
  • Proper phone and email etiquette
  
  Knowledge, Skills and Abilities:
  
  • Ability to review, analyze and interpret payor reimbursements, billing guidelines, and state or federal regulations.
  • Detail oriented, with strong analytical, organizational and problem solving skills.
  • Communicate professionally and effectively with employers, insurance payers, and UHS customers.
  • Demonstrates a strong work ethic by managing time effectively and completing all tasks as assigned.
  • Ability to balance productivity with a high-quality level of work standards.
  • Adaptable with the ability to learn and apply knowledge of new programs and procedures quickly.
  • Maintain confidentiality and appropriate HIPAA compliance guidelines.

• About the company

  The best remote jobs for you

Notice