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Reimbursement Specialist

Coraopolis, PA

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RemX Staffing is looking for a Reimbursement Specialist for a client in Moon Township, PA!

Position Summary: Actively track and follow up on aging Certificates of Medical Necessity and Assignment of Benefits forms to reduce unbilled revenue. Accurately resolve and address problems encountered during the follow up process.

  • Contact (outbound phone calls) physician’s offices to check the status of outstanding forms on a designated schedule.
  • Contact patients (outbound phone calls) to discuss Assignment of Benefits or Proof of Delivery requirements and to follow up on unsigned documents.
  • Create documents required based on payer guidelines and submit them to the designated physician.
  • Closely monitor the timely filing guidelines of all payers to ensure that outstanding claims are billed within the payers timely filing period.
  • Receive inbound call volume that can include patient questions, physician information updates, patient complaints, etc.
  • Identify incorrect patient information and work with the physician and patient to bring the problem to a resolution.
  • Resend forms as needed to physicians for signature. 
  • Communicate any ongoing documentation issues related to a physician or referral to the applicable sales representative.
  • Closely monitor and update the billing system – including the Patient, Doctor, Referral, Supporting Documentation and Billing Files.
  • Communicate any issues encountered during the documentation retrieval process to the Team Lead and/or Department Manager.

Hours: Monday through Friday 8:30AM - 5PM 

Job Requirements

  • High school diploma or equivalent
  • 1+ year of customer service experience
  • Experience with Microsoft Word, Outlook, and Excel required

Interested? Apply now! 

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