Billing Reimbursement Specialist

Billing Reimbursement Specialist

Title: Reimbursement Specialist

Work Schedule: Monday thru Friday 8:30am - 5:00pm

Location: Sarasota, Florida

Pay: $23.00 hr.

Employment Type: 3-month Contract to Hire

The Client:

Our client is one the country s largest non-profit hospice and home care-based health care organization. They are uniquely devoted to pioneering all-embracing care that provides for the full life. One who provides for all stages of care, for all dimensions of well-being and for all aspects dear to one s life.

Position Overview:

The Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts receivable and patient service revenue records and reports.

Job Duties/Responsibilities:

• Promotes and practices the hospice mission and values and follows all policies and procedures.
• Prepares, reviews, and submits monthly billings according to established procedures. Matches bills with census and identifies discrepancies, reviews patient billing revenues for accuracy.
• Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
• Reviews and corrects accounts receivable bills/records before transmission or mailing.
• Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
• Completes billing audits to ensure accuracy and/or compliance.
• Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.
• Consults with appropriate departments and personnel regarding status of patients for billing purposes.
• Contacts Medical Records as needed to acquire any information and records needed for billing.
• Coordinates the compilation and submission of information needed for Medicaid and Medicaid managed care providers, including obtaining authorizations.
• Coordinates with Long Term Care (LTC) facilities relating to patient responsibility and notification of Tidewell Hospice (or affiliate) Admission.
• Continuously strives to improve processes and maintain high standards of quality and customer service.

Qualifications:

• Require AHCA Clearance
• Must have Part A billing experience.
• Associate degree with one-year previous billing/medical office related experience
• Demonstrated experience in general healthcare billing practices; proficiency with billing software and Netsmart EMR within 3 months of post-hire.
• Knowledge of Medicare/Medicaid billing regulations
• Clear Background / Drug compliance

SRG offers flexible staffing solutions with a national presence. We provide contract, contract-to-hire, direct hire and executive search services. SRG utilizes an innovative approach to identify and qualify talent that is unique to the Staffing industry, featuring a cutting-edge platform that allows us to rapidly and precisely match professionals to client requirements. We have a proprietary database of over one million candidates and maintain continuous contact with our qualified talent.

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