What are the responsibilities and job description for the Billing & Reimbursement Specialist position at Rochester Regional Health?
SUMMARY
The Billing & Reimbursement Specialist ensures timely processing of claims which will require organizational skills and the ability to multi-task. He/she would have experience with third party payers (Medicare, Medicaid, Commercial, Workers Comp/MVA); CPT and ICD-10 coding, payment posting and collections. Along with completing the assigned tasks, the Billing & Reimbursement Specialist would be actively involved with his/her colleagues creating a positive and productive environment.
OFFERINGS
- 401K
- Comprehensive Benefits Package
- Tuition Reimbursement
STATUS: Full Time
LOCATION: Horsham, PA (Hybrid)
DEPARTMENT: Billing & Finance
SCHEDULE: Monday - Friday; Days
ATTRIBUTES
- Bachelor's Degree preferred.
- Medical background with experience in insurance verification, medical records and knowledge of medical terminology.
- Good time management skills.
- Ability to prioritize and focus.
- Attention to detail and ability to effectively manage multiple tasks.
- Can work successfully in a high-pressure environment and respond to multiple priorities.
- Capable of resolving problems independently, coupled with the ability to discern the need for escalation and intervention.
- Must be a team player with a positive attitude.
- Detail oriented with strong organizational skills.
- Proficiency with computer software systems, specifically Microsoft products such as Excel, Word and lab/billing management systems.
- Must possess excellent communication and customer service skills and have a professional phone manner.
- XIFIN Billing System experience preferred but not necessary.
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AWARDS & RECOGNITION
- Top 5 most long-standing, highest quality toxicology laboratories
RESPONSIBILITIES
- Medical Billing Work current and aged denials to improve cash collections and reduce DSO through timely follow up. Contact third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded or partially responded claims. Respond to any requests from third party insurance for any additional information and documentation. Investigates insurance and patient refunds. Analyze and report trends based on data analysis. Verifies patients’ coverage and benefits. Adheres to appropriate quality control and confidentiality/HIPAA procedures.
- Customer Service Interact with team members to resolve billing issues in a positive and constructive manner. Answer phones and respond to inquiries or problems in a professional and courteous demeanor with clients, patients as well as insurance carriers.
Qualifications:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.