Medical Reimbursement Specialist
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Job Location:
Miramar, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Location: Onsite Miramar FL
Schedule: Full-Time Monday Friday
Pay Rate: $19.00/Hour
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Submit medical claims to appropriate payer.
- Ensure resubmission of claims when applicable areaccurate.
- Ensure reimbursement of claims by submitted the most appropriate coding for servicesperformed.
- ICD diagnosis coding modifier application and verification of CPT and/or HCPCS codes.
- Responsible for ensuring all claims processed through Emdeon (Change Healthcare) are correct and compliant.
- Responsible for performing payer enrollment follow up
- Keeps abreast of and comply with coding guidelines and reimbursement reporting requirements.
- Daily review and follow up on all incomplete electronic provider-billing encounters.
- Identify issues correct code and/or pend due to missing information.
- Keep up to dateon medical insurance rules and proper filing guideline.
- Answer patient calls/questions clinic staff calls and insurance company calls.
- Maintain a professional relationship with insurance companies and patients.
- Other duties asassigned.
QUALIFICATIONS AND REQUIREMENTS
- Minimum 3 years of experience of medical ICD & CPT coding experience preferred.
- Electronic Medical Record experience Emdeon (Change Healthcare) software highly preferred.
- Proficient with Microsoft Office Suite.
- Excellent verbal and written communication skills.
- Excellent organizational and time management skills.
- Analytical problem solving and critical thinking skills.
- Ability to organize coordinate prioritize and facilitate on-going tasks.
- Ability to work independently and with a team.
EDUCATION
- High School Diploma or equivalent required.
- Medical Billing/Coder Certification from accredited entity.
PHYSICAL DEMANDS
Requires sitting standing and occasional light lifting.
The Perks of Joining Our Team:
We believe in taking care of our team. Youll enjoy a comprehensive benefits package designed to support your well-being and financial future:
- Comprehensive Health Benefits: Medical Dental Vision Short-Term/Long-Term Disability Insurance Life insurance.
- Time to Recharge: Paid vacation and holiday pay.
- Focus on Your Wellness: We offer a robust Employee Wellness Program.
- Invest in Your Future: 401(k) with a company match.
- Support System: Employee Assistance Program provides confidential support and counseling.
- Get Rewarded for Referring Great People: Employee referral program.
Ready to start your rewarding journey with us Apply today!
Please note while this job description is a comprehensive overview additional responsibilities may be part of the role.
ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries please contact our recruitment team at
ProCare Rx is an Equal Opportunity Employer.
Required Experience:
IC
