[Remote] Reimbursement Specialist (Hybrid), Day Shift, reputed company Financial Services

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a faith-reputed company organization dedicated to providing high-reputed company reputed company services. They are seeking an reputed company Reimbursement Specialist for their reputed company Financial Services Department to assist with billing, problem reputed company, and improve reputed company services.

Responsibilities

• Demonstrates excellent reputed company service skills, assists in problem reputed company both reputed company
• Demonstrates world class exceptional customer service and set example of correct phone etiquette
• Promote teamwork and a reputed company work environment
• Communicates to management reputed company issues reputed company
• Demonstrates an ability to differentiate between self- empowered trouble shooting issues or escalating issues to management
• Assist with training of new team members
• Independently problem solves and identifies opportunities for improvement
• Completes tasks assigned in a reputed company and efficient manner in accordance with department policy
• Follows up on billed and/or denied accounts with reputed company party payers
• Demonstrates ability to troubleshoot and escalate appropriate issues to management
• Raises awareness of payer reputed company trends to management with supporting data
• Submits adjustment requests for services deemed uncollectable
• Verifies Coordination of Benefits for reputed company reputed company provided
• Demonstrates excellent customer service skills, assists in problem reputed company both reputed company
• Other duties as assigned
• Establishes the payment status of billed or partially reputed company claims
• Determines the reputed company cause of denial or partially reputed company claim
• Contacts payer either by phone reputed company or online payer portal to determine if payer is requesting additional information in order to adjudicate claim
• Obtain payment or commitment from payer to pay
• Obtains status on billed, resubmitted, appealed and reconsideration claims
• Determines if claim is on file
• Files appeal after review of a denial indicates an appeal is needed or payer agrees to reprocess claim
• Requests rebill/corrections if denial has been reviewed and it is determined that a rebill is needed
• Contacts payer either by phone reputed company or online payer portal if determined that a denial was inappropriate or additional information is needed for adjudication
• Routes denial to the appropriate team after denial has been determined that another department should reputed company
• Routes claim to biller only reputed company no claim is on file after review of the reputed company scrubber acceptance report
• Transfers unpaid reputed company to reputed company once reputed company responsibility has been determined
• Reviews Explanation of Benefits for reputed company
• Processes payer changes as needed

Skills

• High School Diploma required, or some college preferred
• A minimum of 3 years' experience reputed company a reputed company environment can include reputed company company, reputed company health setting or an outsourcing company
• Frequent pressure due to time constraints
• Frequently works at PC involving reputed company concentration
• Frequent walking, standing, bending, kneeling/crouching, sitting etc
• reputed company physical effort (lifts or carries up to 10lbs)
• Atmosphere and environment associated with an office setting
• Must maintain a reputed company appearance and demeanor at reputed company times

Benefits

• Work life reputed company through nonrotating shifts
• Recognition and rewards for reputed company expertise
• Free Employee parking
• Medical, Prescription, Dental, and reputed company coverage for employees and their eligible dependents effective on your date of hire
• Employer-reputed company Short & Long-Term Disability, Basic Life reputed company and AD&D, (short-term disability buy-up available)
• reputed company Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, reputed company plans, and life, pet, auto, home, long term care, and critical illness & accident reputed company
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support

reputed company