Addus HomeCare · 7 hours ago
Reimbursement Specialist (Skilled/Hospice)
United States
Full-time
Remote
New Grad, Entry LevelAddus HomeCare is focused on providing quality care and they are seeking a Reimbursement Specialist to manage billing and revenue cycle operations. This role involves handling insurance verifications, claim submissions, and ensuring compliance with regulations while maintaining communication with various stakeholders.
Hospital & Health Care
Responsibilities
Accurately interprets patient insurance, prescription and other health-related documentation
Conducts medical insurance verifications and investigations for commercial and government payors
Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
Reviews unpaid accounts to determine status and taking appropriate action to ensure payment
Reviews all claims for compliance and completeness for claims submissions
Researches available alternative funding options to reduce patient’s financial burden
Handles high call volumes
Communicates with internal and external departments to facilitate coordination of care
Maintains a high degree of confidentiality at all times due to access to sensitive information
Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
Follows all Medicare, Medicaid, and HIPAA regulations and requirements
Abides by all regulations, policies, procedures and standards
Performs other duties as assigned
Qualification
Required
High school diploma or equivalent is required
Possess quick and accurate Alpha/numeric data entry skills
Customer service skills required
Maintains positive internal and external customer service relationships
Maintains open lines of communication
Plans and organizes work effectively and ensures its completion
Meets all productivity requirements
Demonstrates team behavior and promotes a team-oriented environment
Actively participates in Continuous Quality Improvement
Represents the organization professionally at all times
Self-starter with exceptional organizational and follow-through skills
Excellent verbal and written communication skills
Ability to work independently and in a team environment
Preferred
Undergraduate degree
Hospice Room & Board collections preferred, but general Hospice Collections experience acceptable
Experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment
Computer proficiency – MS Office and Web-enabled applications strongly preferred
Understanding of the requirements of Medicaid, Medicare and Insurance billing
Benefits
Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Company
Addus HomeCare
Addus HomeCare is one of the nation's largest and fastest growing providers of personal home care and support services.
Founded in 1979
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Brian Poff
Chief Financial Officer
Brad Bickham
President and Chief Operating Officer
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