CyS Capacitacion y Servicios Empresariales, C.A. · 1 day ago
Reimbursement Specialist
New Providence, NJ
Full-time
Hybrid
Entry, Mid Level
2+ years expPromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to join their AR Infusion team. The role involves managing patient billing and collections, ensuring compliance with insurance data collection and verification processes, and collaborating with various departments to enhance the revenue cycle.
Management Consulting
Responsibilities
Collections of third-party payor accounts for assigned payers
Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research
Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans
Identify adjustments, payment trends and denials and ensure problems are escalated as necessary
Maintain confidentiality in all aspects of patient care, employee activities and office environment
Communicate changes regularly or as often as needed
Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections
Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
Field and troubleshoot calls from patients regarding benefit, claims and patient balances
Pro-actively seek resolutions to any billing issues that may arise
Perform CPR+/Caretend related transactions accurately and timely
Perform other duties as assigned
Qualification
Required
High School Diploma or equivalent
Working knowledge of insurance plans including Medicare and Medicaid required
Preferred
2-3 years of experience in electronic claims submission and medical collections preferred
Industry experience with billing/collections in DME, home infusion and/or enteral preferred
Accounts receivable and accounting experience preferred
Knowledge of CPR+ and/or Caretend software preferred
Benefits
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Volunteer and Engagement Opportunities
Employee Referral Bonuses
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Company
CyS Capacitacion y Servicios Empresariales, C.A.
Empresa de servicios dedicada al acompañamiento especializado en organizaciones para el logro de sus objetivos y para la mejora continua de Sistemas de Gestión de la Calidad, Ambiente, Seguridad y Salud Laboral.
Founded in 2005Valencia, Carabobo, VE
2-10 employeesFunding
Current Stage
Early StageCompany data provided by crunchbase