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Reimbursement Specialist

Philadelphia, PA

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Description

RemX Staffing is seeking an experienced reimbursement specialist for a a client located in NE Philadelphia. This role is a great opportunity with a growing company that specializes in durable medical equipment. 

  • Prepares documentations and processes computer input of patient accounts to ensure timely follow-up.
  • Reviews diagnosis, procedure codes, and charges for accuracy and obtains from appropriate department when necessary.
  • Verifies patient eligibility using appropriate systems, and checks system for possible overlap claims.
  • Requests additional insurance information and assignments from patients.
  • Copies appropriate insurance information to submit with billing.
  • Updates insurance information and Financial Class.
  • Processes and submits claims to the appropriate intermediary to ensure accurate and prompt reimbursement of charges.
  • Sends all necessary information and documents to payer.
  • Processes complete and timely claim follow-up as required to ensure claims are adjudicated in shortest amount of time, 14 business days.
  • Responsible for electronic error/reject reports worked accurately each day.
  • Completes weekly explanation of Aged A/R.
  • Performs other duties as necessary to assist in the functioning of the department.

Job Requirements

 

  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff.
  • Ability to perform in a high productivity, fast-paced environment.
  • Excellent phone and computer skills.
  • Ability to meet deadlines and prioritize diverse responsibilities.
  • Proficient in Microsoft applications including but not limited to Outlook, Word, Excel
  • Two years of college or equivalent work experience preferred
  • Thorough knowledge of all private insurance rules and regulations as it relates to claims submission

This role is temp to hire

 

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