Reimbursement Specialist

Open 34d posting dated 3 weeks ago

The Reimbursement Specialist is responsible for assisting the Reimbursement Supervisor in all areas of Collection and Billing.

Please be aware that this position requires full-time, in-office work.

Duties and Responsibilities

Follows appropriate payer requirements, policies and procedures when billing for products, care and services.
Will always maintain the confidentiality of patients/customers and their personal information.
Responsible for timely and accurate claim submission to all payers.
Performs billing, collection, scanning, filing and audit functions as needed.
Ensure timely follow-up of assigned accounts and escalate issues to Supervisor/Director as needed.
Notifies the appropriate person/department when missing data or documentation is not able to be obtained and is delaying the billing function.
Monitors account receivable balances in CPR+ ensure AR is accurately notated and follow up date scheduled.
Answer phone lines in a timely manner, responding appropriately to questions and information received.
Handles faxes as appropriate and as applicable.
Backup as needed for Patient Services.
Participate in surveys conducted by authorized inspection agencies.
Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
Participate in pharmacy committees when requested.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Respond to payer pre and post payments audits timely. Work closely with Compliance to ensure proper information is sent.
Perform other duties as assigned by Supervisor.

Schedule

See also