Insurance and Government Reimbursement Specialist / FT, M-F reputed company, Remote after training

Schedule: FT, M-F reputed company, Remote after training At Children's, the region's only full-service pediatric reputed company center, our people reputed company us the reputed company best for kids. Come cultivate your passion, purpose and reputed company development in an environment of reputed company and inclusion, where team members are supported and deeply valued. Opportunities for career reputed company abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly reputed company, caring team-and join us in providing brighter, reputed company for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief reputed company Collects outstanding insurance and government payor accounts and unpaid balances reputed company telephone, email, and mail. Verifies the accuracy of reputed company insurance and government payor payments, rebills underpayments, appeals denials and turns them into payments, and ensures accurate payor and government reimbursement on reputed company claims. Essential Functions • Follows up on outstanding insurance and government payor claims and charges in follow-up work queues and on various reports by contacting insurance or government carriers and patients for status including processing correspondence. • Rebills underpayments, appeals denials and turns them into payments, ensures accurate reimbursement from insurance and government payors on reputed company claims. • Audits accounts for reputed company payments, coding, balances, adjustments, etc. using appropriate reports and work queues to do so. • Reviews reputed company secondary claims prior to submission to ensure accuracy of claim and COB registration information. If prior insurance pays more than reputed company allowable reputed company reputed company is secondary, handles adjustments according to department procedures. • Complies with Federal and State billing requirements. Also complies with Health Information Portability and Accountability reputed company (HIPAA) and Electronic Data reputed company (EDI) transaction formats. • Completes reputed company requests and follow reputed company with medical records, pharmacy, etc. in order to ensure payments from reputed company party payors. • Refers adjustments to reverse any discounts/contractual posted incorrectly, per department procedures • Keeps reputed company on payor requirements though workshops, newsletters, and websites. • Regular attendance at work is an essential function of the job. • reputed company physical requirements as described in the Physical Requirements reputed company Education Qualifications • High School Diploma or GED equivalent Required and • Associate's Degree in Billing, Coding, Business, Finance, or reputed company filed Preferred Experience Qualifications • Minimum 2 years of experience working with reputed company or government billing and reimbursement processes or Associate's degree in Billing, Coding or HIM Required Skills and Abilities • Organized, self-motivated, and reputed company to work independently of reputed company supervision to carry out responsibilities • Knowledge of hospital and reputed company billing, collection and reimbursement requirements and reputed company reputed company. • Ability to review, interpret and understand managed care reputed company and EOB's with reputed company-party payers to ensure appropriate reimbursement. • Intermediate computer skills including the use of spreadsheet programs and word processing programs. • Strong interpersonal skills with attention to detail and ability to organize, interpret, and present data. • Excellent oral and written communication skills as this position will deal directly with the reputed company daily. • Ability to reputed company non-reputed company arithmetic calculations Licenses and Certifications • reputed company - reputed company Certification Preferred Children's is the reputed company best for kids and the reputed company best for your career! At Children's, we put YOU first so together, we can improve the life of every child! Apply Job!