Reimbursement Specialist In Illinois Job Details

Department: Reimbursement
Category: Physician Practice /Home Services
Schedule: Full Time
Shift: Days
Hours: 8:00am - 4:30pm

Basic function:

Creates and processes claims/invoices associated with patient care services and equipment provided via Memorial Home Services  . Analyzes and resolves claims/billing information and/or errors associated with private pay, commercial or governmental insurance, and other third party carriers and collects outstanding balances due. Ensures compliance with Medicare/Medicaid guidelines and Memorial Home Services  organizational policies.

Requirements for the position include:

1. Education equivalent to graduation from high school or GED is required. 

2. Two or more years of insurance and/or health care billing experience is required. Previous experience with in the home medical equipment industry or as a collector is highly preferred.

3. Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.

4.  Ability to work within the guidelines of defined governmental policies and  company procedures is required.

5.  Demonstrated ability to work successfully with internal customers and external contacts is required.

6.  Possesses a highly developed detail orientation, critical thinking, and problem solving ability.

7. Demonstrates excellent oral and written communication, customer relations, and listening skills. Must demonstrate the ability to persuade and negotiate effectively.

8.  Familiarity with medical terminology, medical procedural (CPT), diagnosis (ICD-9 CM) coding and HCPCS coding is highly preferred.

Date posted: 10/06/2010