EMPLOYMENT OPPORTUNITIES

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Reimbursement Specialist

Department: Reimbursement

Reports to: Reimbursement Manager

Non-Exempt Postion

Non-Supervisory Postion

Position Summary: Meet with and counsel patients regarding past due bills and new patient billing questions. Handle patient phone calls regarding bills.  Assist with charge ticket reconciliation. Inform patients of their financial responsibilities for service, collect co-payments, and end of day balancing.

Position Qualifications: 3 years experience in the insurance field, medical office preferred.  Knowledge of coding ICD-9 and CPT  is required.  Effective interpersonal skills.  Excellent verbal and written communication skills.  Basic math and accounting skills.  Pleasant telephone voice and manner.  Knowledge of office business machines.  Basic data entry and typing skills. Medic knowledge helpful.  Muti-task worker.  Self-motivated. Team Player. Attention to detail.

Physical Requirements: Sitting, standing, bending, stooping, twisting, reaching overhead and lifting up to 40lbs.  Manual dexterity, speech, hearing and visual acuity needed for performing duties.

Responsibilities & Standards of Performance:

1.  Provides Financial Counseling:

1. Meet with patients to discuss financial policy.
2. Implement patient payment plans when necessary.
3. Work with new patients to coordinate and assure correct information is recorded.
4. Collect co-payments.

2.  Insurance Processing:

1. Assist in finance department when necessary.
2. Assist in coordinating claims rejection errors and in the correction process.

3.  Billing and Financial:

1. Answer any questions or correspondence concerning billing and collections.
2. Answer physician questions regarding financial problems with patients.
3. Establish payment plans with patients and serve as a financial counselor.
4. Post payments to accounts when needed and end of day balancing.
5. Post charges for office visit/office-based services.

Continuance of Responsibilities & Standards of Performance:

4.  Administrative:

1. Assist Reimbursement Manager in devising and implementing billing and collection policies and procedures.
2. Work with other areas of practice to ensure a smooth encounter for patients from start to finish.

5.  Education and Growth:

1. Attend all staff meetings.
2. Attend billing and collections seminars / workshops.

Other Job Duties:

1. Attend all monthly staff meetings, HIPAA and OSHA training.
2. Reports any perceived hazards to their supervisor or OSHA Safety Officer.
3. Attend billing and collections seminars and workshops.

Job Knowledge, Skills and Abilities: 

3 years experience in the insurance field, medical office preferred. Must have a knowledge of coding ICD-9 and CPT. Effective interpersonal skills. Excellent verbal and written communication skills. Basic math and accounting skills. Pleasant telephone voice and manner. Knowledge of office business machines. Basic data entry and typing skills. Medic knowledge helpful. Ability to multi-task, self motivated, team player, and attention to detail required.

Education: High School Graduate and three years related experience

Experience: Previous experience in a physicians office preferred, but not required. License: N/A

Americans With Disability Act Statement
External and internal applicants who become disabled must be able to perform the essential job functions, either unaided, or with assistance of a reasonable accommodation. To be determined on a case-by-case basis.

Disclaimer Statement
This job description is intended to outline the general nature and level of work performed.

It is not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

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