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Eskenazi Health · 1 day ago

REIMBURSEMENT SPECIALIST (50075592)

Indianapolis, IN, US, 46205

Full-time

Onsite

Mid Level

3+ years exp

Eskenazi Health is committed to diversity and seeks to employ a diverse workforce. The Reimbursement Specialist provides medical billing and coding services, oversees the fee collection process, and resolves unpaid medical claims while providing training to clinic staff.

Health Care

Responsibilities

Files claims electronically and on paper for reimbursement

Posts payments electronically and manually to each individual patient account

Follows up on unpaid claims, researching and resolving issues to secure payment

Trains clinic personnel on billing software updates or new procedures

Instructs staff on fee collection, patient eligibility and billing

Develops and updates relevant forms, reports, patient encounter forms, etc. when changes occur to ICD-10 and CPT codes and new programs or projects

Provides in-service orientations for fee collection system and required updates

Maintains contact with clinic personnel to advise of current procedures and practices relevant to fee collection or insurance billing

Cross-trained in all aspects of billing to assist in Dental, Immunization and Behavioral Health billing

Stays current on insurance/carrier polices and billing updates

Maintains provider status, updates and provider enrollment forms and applications, required for billing insurance, license and DEA numbers and applying for new provider status with insurance carriers

Monitors patient charts for correct documentation of services rendered

Conducts internal audits of charts to maintain accuracy of charting versing billing

Compiles reimbursement reports

Prepares monthly revenue reports of payments received, and amount billed

Prepares other reports as requested

Maintains up to date logs and files of documentation

Develops and maintains alpha numeric files including patient encounter forms, monthly reports, special projects, insurance provider information, bulletins, etc

Updates Standard Operating Procedures/Desk Procedures

Provides support and back up to Reimbursement clerk

Processes referrals for RBMC/Medicaid

Assists Director of Finance and Medical Director on special projects

Other Duties as assigned

Qualification

ICD-10-CM codingCPT codingHCPCs codingMedical TerminologyMedicaid billingProfessionalismMicrosoft OfficeMedical billing softwareInterpersonal skillsWritten communicationVerbal communicationReliabilitySelf-motivation