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Reimbursement Specialist - 162549 in Phoenix, AZ at Preferred Homecare | LifeCare Solutions

Date Posted: 9/12/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Phoenix, AZ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/12/2018

Job Description

ummary: The Reimbursement Associate performs accounts receivable functions including qualification of appropriate documentation and billing. Helps ensures compliance with all government, contract, and company policies and regulations.
Essential Duties and Responsibilities include the following.
1. Checks and understand eligibility and verification requirements
2. Reviews claims using basic understanding of insurance coverage and criteria to help determine appropriate steps to submit payable claim
3. Researches overdue accounts and follows up by mail and/or phone to insurance carriers or customers on delinquent payments
4. Reviews denied or unpaid claims to determine proper resolution
5. Resubmits general claims with proper documentation for further carrier review
6. Responds to inquiries regarding account status in a timely manner
7. Understands billing software in order to review customer information and enter data
8. Maintains notes and documents progress appropriately and timely
9. Brings recurring issues to the attention of management
10. Performs other duties as assigned
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: High school diploma or GED equivalency. Prefer 3-6 months home health, customer service, call center, insurance, or reimbursement experience. Strong interpersonal, communication, and organizational skills required.
Computer Skills: To perform this job successfully, an individual should have basic computer and typing skills

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