Planned Parenthood of Metropolitan Washington, DC, Inc. · 12 hours ago
Reimbursement Specialist
United States
Full-time
Remote
Mid Level
$22/hr - $30/hr
3+ years exp
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Responsibilities
Conduct appropriate claim follow-up on all open A/R to ensure prompt adjudication.
Perform daily ERA, EOB, and patient payment posting.
Submit daily electronic and paper claim files, and correct all claim and charge review edits, warnings and errors; run statement files; and download ERAs/EOBs as needed.
Review and monitor clearinghouse claim errors and global payer rejections for possible system edits or payer updates.
Daily review of billing work queues.
Credit balance review and processing.
Insurance benefit verification.
Analyze payer denial trends and payer coding requirements to ensure payment of claims.
Ensure month-end activities are completed in a timely manner and that month-end reconciliation is accurately completed.
Ensure the affiliate’s claim KPIs are satisfied.
Participate in Revenue Cycle Team meetings/conference calls, and provide the necessary reporting, feedback, and training required to improve processes.
Serve as an active agent on the billing line.
Attend PPMW and PPFA training as well as other assigned training to improve knowledge base and claim efficiency.
Follow up on denied claims with payers.
Patient statement processing.
Grant billing.
Complete special projects as needed.
Other responsibilities as assigned.
Qualification
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Required
high school diploma or equivalent
Three or more years’ experience in medical billing and/or Accounts Receivable
Ability to work independently, prioritize work, and communicate effectively.
Experience with patient billing and collections.
Ability to handle confidential materials that relate to a variety of individuals.
Ability to thrive in a fast-paced environment.
Superb attention to detail.
Strong problem-solving skills.
Ability to work independently, including handling multiple projects/tasks simultaneously.
Access to secure, reliable Internet and utilities.
Preferred
Bachelors degree
Epic experience
Company
Planned Parenthood of Metropolitan Washington, DC, Inc.
Planned Parenthood of Metropolitan Washington, D.C.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
C
Cathy Evans, MBA, SHRM-SCP
Chief People Officer
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