Job Summary
We are seeking a detail-oriented and knowledgeable Professional Reimbursement Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing medical claims, ensuring accurate reimbursement from insurance providers, and maintaining compliance with healthcare regulations. This role requires strong analytical skills and a commitment to providing excellent service to both patients and healthcare providers.
Key Responsibilities
- Review and process medical claims for accuracy and completeness.
- Communicate with insurance companies to resolve claim discrepancies and denials.
- Ensure compliance with federal and state regulations regarding medical billing and reimbursement.
- Maintain detailed records of claims and payments for auditing purposes.
- Collaborate with healthcare providers to gather necessary documentation for claims.
- Provide support and guidance to patients regarding their insurance benefits and billing inquiries.
- Stay updated on changes in healthcare regulations and reimbursement policies.
- Requires predictable and consistent attendance.
Requirements & Qualifications
Skills and Qualifications
- Proven experience in medical billing and reimbursement processes.
- Strong knowledge of medical coding (ICD-10, CPT) and insurance policies.
- Excellent analytical and problem-solving skills.
- Strong attention to detail and organizational abilities.
- Effective communication skills, both written and verbal.
- Proficiency in medical billing software and Microsoft Office Suite.
- Requires regular and predictable attendance.
Benefits & Perks
Competitive salary and benefits package
Opportunities for professional development and growth within the organization
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 months ago
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