Reinsurance Specialist jobs in Lowell, MA

Description

Action Ambulance has locations all over MA.  We believe in our employee’s well-being! We want to make sure our employees are happy, healthy and have a work-life balance. We aim for the highest level of customer and employee satisfaction. We are looking for highly competent individuals and quick learners who are able to provide superior customer service and want to make a difference within their communities.

General Function

Patient Accounts Team members are responsible for processing of patient accounts.

Major Responsibilities

• Dedication to the Action Ambulance Mission
• Dedication to the Action Ambulance Vision
• Dedication to the Action Ambulance S*T*A*R C*A*R*E values
• Dedication to the Baldrige Criteria for Performance Excellence
• Submitting of bills
• Posting of payments
• Review of explanation of benefits
• Resubmission of corrected claims
• Follow up on accounts via correspondence with patients or insurance
• Rebilling to correct payer source if necessary
• Refunding of overpayments
• Appeals
• Tracking and obtaining PCS for dialysis patients
• Communication to other team members of any changes in billing procedures related to specific insurance assignment
• Answering phones and written correspondence
• Documentation on accounts
• Follow HIPAA policies and procedures
• Meet deadlines set by payer
• Referral of accounts for outside collection review
• Review trip sheets for necessary documentation (on a daily basis)
• Enter demographic information
• Enter charges rendered using appropriate HCPCS code
• Enter correct ICD10 diagnosis code for each trip
• Obtain and verify insurance information when necessary including contacting facilities dispatched to or from
• Assure information correct and complete prior to “verifying”
• Refer patterns of inconsistency and errors on trip sheets (i.e. shoddy documentation, missing demographics, missing PCS, etc) to appropriate supervisor
• Provide necessary documentation when obtained to facilitate collection procedures
• Track missing paperwork and follow up

Interactions

This position requires daily interaction with other team members as well as insurance organizations, patients, and families.

Qualifications

Qualifications

Requires strong computer and telephone skills. Also calls for flexibility, excellent interpersonal skills, project coordination experience, and the ability to work well with insurance organizations and other stakeholders.

Physical Requirements:

None Specific.

Disclaimer:

The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as comprehensive inventories of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Action Ambulance Service, Inc. has the sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.