PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. The ideal candidate will have experience in healthcare reimbursement and be able to work independently in a fast-paced environment. If you are a motivated individual with a passion for healt... more details
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Job Type
Full-time
Description
PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. The ideal candidate will have experience in healthcare reimbursement and be able to work independently in a fast-paced environment. If you are a motivated individual with a passion for healthcare reimbursement, we encourage you to apply for this exciting opportunity. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion
Job Type: Full-time, 40hrs per week, Mon-Fri flexible schedule during the hours of 8am-5:30pm
Location: In-Office in Madisonville, LA
Requirements
High School Diploma or equivalent
2-3 years of experience in electronic claims submission and medical collections preferred
Working knowledge of insurance plans including but not limited to Medicare and Medicaid preferred
Industry experience with billing/collections in DME, home infusion and/or enteral preferred
Accounts receivable and accounting experience preferred
Knowledge of CPR+ and/or Caretend preferred
Job Responsibilities, included but not limited to:
Document and input new referrals and patient admissions from start to finish
Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
Assist with collections as needed and identified in an overall weekly A/R review done by the Reimbursement Manager
Assist the Cash Poster as needed and identified by the Reimbursement Manager
Field and troubleshoot calls from patients regarding benefits, claims and patient balances
Pro-actively seek resolutions to any billing issues that may arise
Reporting/Documentation:
Billing documents as requested
Claim adjudication
Collection efforts and resolutions
Weekly status reports
Keeping the Infusion price table matrix up to date according to our payor contracts to ensure correct pricing in revenue.
Reading Claim EOB’s and correspondence for the posting of denials of non-paid claims
Running monthly eligibility reports and notating each patient account individually and alerting appropriate team member when necessary
Entering claim information when generated on Novologix website (minimal claims)
Other duties as assigned
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. It also requires the ability to lift files, open filing cabinets and bend or stand as necessary. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.
Benefits & Perks
Competitive Salary
Medical, Dental, Vision Package
401(k) plan (discretionary)
PTO - Vacation, Sick and Personal days, and paid holidays
Referral bonuses & Discount Ticket Program
Lunch & Learn Programs
Employee Recognition Program
Equal Employment Opportunity
The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
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