Reimbursement Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• The role involves following up on patient accounts related to all types of hospital claims.

• This entails tracking accounts through secondary and subsequent payers.

• A comprehensive understanding of hospital managed care contracts, standard collection processes, and state and federal regulations is essential.

• Knowledge of medical terminology along with diagnosis and procedure coding is required.

• Review all accounts with payments received the previous day.

• Address and resolve the reminder queue on a daily basis.

• Process secondary, tertiary, and other paper claims as necessary.

• Adhere to established policies, procedures, objectives, quality assurance programs, and safety standards.

• Engage in educational programs and in-service training.

• Deliver customer service to patients, internal customers, and insurance companies as required.

• Execute other assigned responsibilities.

⛳️ Requirements

• A High School diploma or an equivalent qualification is mandatory.

• A minimum of three years of experience in hospital collections is required.

• In-depth knowledge of payer rules and regulations, including at least two years of experience with Texas Medicaid and government payers, is essential.

• Proficiency in Microsoft Office is necessary.

• Experience with Meditech is advantageous.

• Strong verbal and written communication skills are required.

• Good mathematical skills are a must.

• Ability to receive, understand, and follow instructions; ability to work safely with equipment, supplies, and materials; ability to meet attendance requirements; and adherence to Human Resource policies is necessary.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Supportive work environment and collaborative team culture.