U.S. Renal Care is seeking a Reimbursement Representative for our dialysis facilities. The Reimbursement Representatives role is to file insurance claims and collect on accounts assigned in a timely and accurate manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Reviews EOB/EOMB's for proper reimbursement.
Responsible for all collection activities on identified accounts.
Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
Performs claim appeals as required.
Assists with credit balance resolution.
Completes re-bill request as necessary to facilitate timely and proper claims payment.
Follows up on unresolved account balances including RTP's.
Prepares adjustment and write-off requests as necessary.
Performs other duties and responsibilities as required or assigned.
Monitors all contracts and single patient agreements to ensure that appropriate reimbursement is received.
EDUCATION and/or EXPERIENCE:
High School diploma or GED required.
Minimum of two years experience in health/medical billing and collections.
U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran