Reimbursement Specialist
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Job Description
Remote Reimbursement Specialist managing Medicare, Medicaid, commercial insurance billing and collections. Supporting Telecare’s behavioral health services through coding, rate updates, and reimbursement operations.
Responsibilities:
- Perform all billing and collection activities for assigned fee-for-service/third-party facilities
- Handle billing for Medicare and Medi-Cal/Medicaid, counties, commercial insurance and members served
- Keep up to date on applicable CPT and other coding changes
- Monitor fee-for-service and/or contract billing rates
- Communicate coding and billing-rate changes to affected parties at Telecare
- Travel to locations where Telecare does business or plans to do business as needed
Requirements:
- Five (5) years of prior medical billing experience or two (2) years of college and one (1) year of healthcare experience
- Extensive knowledge of Medicare, Medi-Cal/Medicaid and commercial insurances
- High level of PC literacy, especially in Excel and Word
- Ability to operate independently, utilizing past extensive reimbursement experience and judgment
- Demonstrated capacity to work with sophisticated automated billing systems
- Must be fingerprinted and receive clearance from the Department of Justice and The Office of Inspector General
- Must be at least 18 years of age
- Successful completion of applicable post-offer physical examination
- Successful completion of 2-step PPD test for tuberculosis
- Acceptable criminal background clearances
- Acceptable excluded party sanctions
- Degree or license verification
Benefits:
- Paid Time Off
- Nine Paid Holidays
- Shift differentials for hourly staff (6% for PM Shift, 10% for NOC Shift)
- Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend NOC Shift)
- Free CEUs
- Free Supervision for BBS Associate License
- Coaching and mentorship
- Online University Tuition Discount
- Company Scholarships
- Medical, Vision, Dental Insurance
- 401K
- Employee Stock Ownership Plan
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