Reimbursement Coordinator - Home Infusion

• Obtaining billing information from Clients and generating daily claims
• Performing Q.A. of charges received from Clients and making modifications/changes as required to produce a clean claim
• Reviewing contract/details of new payers before billing. Working with supervisor/manager on changes needed in the billing system (e.g., CPR+, CareTend)
• Tracking pending claims
• Submitting claims to insurance companies in a timely fashion and within the individual insurance company’s timely filing period.
• Preparing and/or printing all secondary claims that do not automatically cross over from Medicare or other primary payer
• Following up on patient balances within established timeframes.
• Obtaining claim’s status by calling the payer and/or using an online payer portal
• Utilizing reports to determine tasks that require follow up
• Taking appropriate action for escalating claims not paid within 60 days or for denied appeals
• Preparing write-off request when bad debt is identified. Documenting description of the reason for the write-off.
• Researching claim payments, partial payments, over payments.
• Prioritizing claims to identify Top Ten high balance accounts. Keeping accounts current until complete.  Preparing report of Top Ten accounts monthly for supervisor/manager review.
• Preparing status report with supporting documentation of all claims over 90/120 days

Do you have what it takes?

Required Qualifications:

• 1-2 years of billing and/or collections or insurance claims processing

Do you stand above the rest?

Preferred Qualifications:

• Healthcare insurance claims processing knowledge
• Healthcare billing and collections knowledge
• Working knowledge of word and excel
• Home infusion and durable medical equipment billing and collection experience preferred, IV field experience, medical billing certification, some college education

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