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Reimbursement Specialist

Philadelphia, PA

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Description

RemX has partnered with a durable medical equipment company in Philadelphia, PA to assist in their search for a Reimbursement Specialist. If you're interested in advancing your career with a growing company in the medical field, then this opportunity is for you! Qualified candidates please submit your resume for immediate consideration.

 

Reimbursement Specialist Job Description:

  • 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.
  • Processes and submits claims to the appropriate intermediary to ensure accurate and prompt reimbursement of charges.
  • 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. 

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Job Requirements

Reimbursement Specialist Requirements:

  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff.
  • Excellent phone and computer skills.
  • Ability to meet deadlines and prioritize diverse responsibilities.
  • Two years of college or equivalent work experience preferred
  • Thorough knowledge of all private insurance rules and regulations as it relates to claims submission
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