WellSky · 8 hours ago

Reimbursement Coordinator - HMO Billing, SNF

United States

Full-time

Remote

Entry Level

1+ years exp

Maximize your interview chances

Health CareSoftware

No H1B

Insider Connection @WellSky

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Obtaining billing information from clients to generate claims

Performing QA of charges received and making modifications/changes to product a clean claim

Tracking pending claims

Submitting claims to insurance companies in a timely fashion and within the individual insurance company’s timely filing period

Obtaining claim status by calling the payer and/or using an online claims status system

Researching claim payments, partial payments, over payments

Focusing on all denied/partially paid claims until full payment is received

Working in a time-efficient manner to cover all denied claim from assigned homes

Knowing when to forward a case to the biller/tracker

Understanding how the higher dollar balances impact our collection rate and focus

Prioritizing the “clean up” of balances by writing off rates/NAMI's/other adjustments

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claim researchBilling information managementClaims submissionMicrosoft OfficeDeadline orientationPerseveranceQA of chargesClaim status trackingDenial management