Reimbursement Specialist - Searcy at Unified Health Services LLC

Searcy, Arkansas, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Mar, 26

Salary

0.0

Posted On

20 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Microsoft Excel, Microsoft Word, Analytical Skills, Organizational Skills, Problem Solving, Communication, Time Management, Attention to Detail, HIPAA Compliance, Billing Guidelines, Payer Reimbursements, Data Management, Collection Efforts, Customer Service, Adaptability, Work Ethic

Industry

Hospitals and Health Care

Description

Description Job Grade: Purpose of job: The Reimbursement Specialist is responsible for managing outstanding worker’s compensation claims by collecting payments, resolving billing issues, and minimizing the number of uncollectable accounts. The ideal candidate will be results-driven and able to focus on key performance metrics to ensure quality and efficiency standards set forth by the company are met. Main Duties Contact insurance payers, employers, or responsible parties in an effort to collect on outstanding accounts receivables. Identify and resolve improper payments, incorrect denials, billing errors and payer discrepancies. Compile accurate and effective appeals and disputes to the appropriate payers and state divisions. Ensure individual and department goals are met, specifically: - Reduce the number of past due accounts through timely follow-up; - Reduce the number of past due accounts through escalation and claim resolution; - Increase cash performance through effective and persuasive collection attempts; - Reduce the number of days in AR for uncollectable accounts Research, compile, maintain and manage quality data related to collection efforts. Provide feedback to management regarding payer issues, underpayments and denial trends. Requirements Qualifications: High school diploma or equivalent General Office Knowledge (Microsoft Excel and Word) Proper phone and email etiquette Knowledge, Skills and Abilities: Ability to review, analyze and interpret payor reimbursements, billing guidelines, and state or federal regulations. Detail oriented, with strong analytical, organizational and problem solving skills. Communicate professionally and effectively with employers, insurance payers, and UHS customers. Demonstrates a strong work ethic by managing time effectively and completing all tasks as assigned. Ability to balance productivity with a high-quality level of work standards. Adaptable with the ability to learn and apply knowledge of new programs and procedures quickly. Maintain confidentiality and appropriate HIPAA compliance guidelines.

Responsibilities

The Reimbursement Specialist manages outstanding worker’s compensation claims by collecting payments and resolving billing issues. They focus on reducing past due accounts and increasing cash performance through effective collection attempts.