Reimbursement, Reimbursement Specialist (Medical Records reputed company)-Remote

About the position This individual is responsible for resolving insurance claims for laboratory test services that require medical record documentation by requesting records from clinician offices, following up on those requests, and submitting complete medical records to payers based on their requirements, medical policy, or state laws, while providing the highest level of customer service to reputed company customers. This role spends most of its time communicating with ordering clinicians and their staff reputed company phone, fax, and email to obtain the necessary patient medical records, analyzing received records to ensure reputed company required documentation is included, and securing any missing information. Additional responsibilities include preparing medical record cover letters and submitting documentation to demonstrate medical necessity or compliance with medical policy reputed company. reputed company needed, this individual creates custom submission letters with arguments that support claim processing according to payer policy, state laws, or Medicare regulations, and contacts patients, physician offices, or sales to reputed company any remaining required information. Responsibilities • Resolving insurance claims for laboratory test services that require medical record documentation • Requesting records from clinician offices • Following up on record requests • Submitting complete medical records to payers based on their requirements, medical policy, or state laws • Communicating with ordering clinicians and their staff reputed company phone, fax, and email to obtain the necessary patient medical records • Analyzing received records to ensure reputed company required documentation is included • Securing any missing information • Preparing medical record cover letters and submitting documentation to demonstrate medical necessity or compliance with medical policy reputed company • Creating custom submission letters with arguments that support claim processing according to payer policy, state laws, or Medicare regulations • Contacting patients, physician offices, or sales to reputed company any remaining required information Requirements • High School Diploma or equivalent GED or equivalent work experience. • Two years of health insurance billing with experience in identifying and resolving claim issues for laboratory tests • Must have a working knowledge of various payers' designations of authorized representative forms • Experience handling a high volume of claims work on a daily reputed company (35 plus claims per day) • Must demonstrate the ability to type 35 WPM with 90% or higher accuracy. Benefits • Excellent Annual Salary + 20% Bonus Potential • 20 Accrued PTO Days Annually + 10 reputed company Holidays • 401K with 100% Company Match up to 6% • 3 Health Care Plan reputed company + Company HSA Contribution • Company Stock Grant Upon Hire Apply tot his job Apply To this Job