Reimbursement Specialist

  • Location
    Irving, California
  • Category
    Accountant - General
  • Job reference:
  • Job type
    Contract/Temp to Hire

We have partnered with an Irving TX client to find a Reimbursement Specialist for a contract to hire opportunity paying up to $23hr. The Reimbursement Specialist provides support in the reimbursement process, prepares outstanding accounts reports and gathers credit and/or reference information. This position requires a high level of customer service and communication with both patients and customers.

What You Will Be Doing:

  • Investigates up-front denials through oral and written communication with insurance carriers  
  • Prepares and submits appeals 
  • Identifies negative trends with payers and works to resolve with key personnel
  • Interfaces with patients and customers to handle inquires, troubleshoot problems, and follows up with calls and/or written communications
  • Ensures that documents are complete with accurate patient billing information
  • Reviews processing errors and analyzes issues, identifies root causes and escalates as appropriate
  • The Ideal Candidate:

  • High School diploma or G.E.D required
  • Accounts Receivable experience
  • 7+ years' experience directly related in medical billing, medical claims/billing environment involving negotiation and/or problem resolution  
  • Ability to read and understand an EOB
  • Intermediate knowledge of government program regulations, Medicare, and other third-party payers  
  • Understanding of CPT and ICD-10 coding  
  • Intermediate skill set with MS Excel

  • Equal Opportunity Employer/Veterans/Disabled

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