Reimbursement Specialist

Description

PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join our Accounts Receivable (AR) department. The specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. The ideal candidate will have experience in healthcare reimbursement and be able to work independently in a fast-paced environment. If you are a motivated individual with a passion for healthcare reimbursement, we encourage you to apply for this exciting opportunity. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion  

 Job Type: Full-time, 40hrs per week, Mon-Fri flexible schedule during the hours of 8am-5:30pm

Location: In-Office/Hybrid in New Providence, NJ

Requirements

• High School Diploma or equivalent
• 2-3 years of experience in electronic claims submission and medical collections preferred
• Working knowledge of insurance plans including but not limited to Medicare and Medicaid preferred
• Industry experience with billing/collections in DME, home infusion and/or enteral preferred
• Accounts receivable and accounting experience preferred
• Knowledge of CPR preferred

Job Responsibilities, included but not limited to:

• Document and input new referrals and patient admissions from start to finish 
• Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
• Assist with collections as needed and identified in an overall weekly A/R review done by the Reimbursement Manager
• Assist the Cash Poster as needed and identified by the Reimbursement Manager
• Field and troubleshoot calls from patients regarding benefits, claims and patient balances
• Pro-actively seek resolutions to any billing issues that may arise
• Reporting/Documentation:
• Billing documents as requested
• Claim adjudication
• Collection efforts and resolutions
• Weekly status reports
• Keeping the Infusion price table matrix up to date according to our payor contracts to ensure correct pricing in revenue.
• Reading Claim EOB’s and correspondence for the posting of denials of non-paid claims
• Running monthly eligibility reports and notating each patient account individually and alerting appropriate team member when necessary
• Entering claim information when generated on Novologix website (minimal claims)
• Other duties as assigned

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. It also requires the ability to lift files, open filing cabinets and bend or stand as necessary. This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.

Benefits & Perks

• Competitive Salary
• Medical, Dental, Vision Package
• 401(k) plan (discretionary)
• PTO - Vacation, Sick and Personal days, and paid holidays
• Referral bonuses & Discount Ticket Program
• Lunch & Learn Programs
• Employee Recognition Program

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.