Reimbursement Specialist

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 56.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a healthcare billing specialist to monitor billing issues, ensure accurate claim submissions, and manage claim status reports. You will assist patients with financial navigation and verify benefits with major payers.

A strong attention to detail and proficiency in Microsoft Office are essential for success. Ideal candidates have 2+ years in medical billing or revenue cycle operations and familiarity with HIPAA privacy regulations.

Qualifikationen

• High school diploma or GED required.
• Associate's or bachelor's degree in healthcare administration, business, or related field preferred.
• 2+ years of experience in medical billing, insurance claims, or revenue cycle operations required.
• Excellent data entry and record-keeping abilities.

Aufgaben

• Researching and monitoring specific billing issues, trends and potential risks.
• Reviewing and ensuring claims are submitted accurately with all pre-claim requirements.
• Tracking the status of claims and pulling reports to manage work.
• Reviewing denied/unpaid claims and taking appropriate corrective action.
• Providing administrative support for department(s) including data entry and record keeping.
• Navigating payor portals to check eligibility, prior authorization, claim or appeal statuses.
• Assisting patients with navigating the financial journey with compassion and accuracy.
• Verifying insurance/recipient benefits with Medicare, Medicaid and Private Insurer Payers.

Kenntnisse

Attention to detail

Organizational skills

HIPAA compliance knowledge

Ausbildung

High school diploma or GED

Associate's or bachelor's degree in healthcare administration, business, or related field

Tools

Microsoft Office (Word and Excel)

Microsoft Excel

Payer portals

Claim tracking systems

Jobbeschreibung

Responsibilities

• Researching and monitoring specific billing issues, trends and potential risks
• Reviewing and ensuring claims are submitted accurately with all pre-claim requirements
• Tracking the status of claims and pulling reports to manage work
• Reviewing denied/unpaid claims and taking appropriate corrective action
• Providing administrative support for department(s) including data entry and record keeping
• Navigating payor portals to check eligibility, prior authorization, claim or appeal statuses
• Assisting patients with navigating the financial journey with compassion and accuracy
• Verifying insurance/recipient benefits with Medicare, Medicaid and Private Insurer Payers

Requirements

• High school diploma or GED
• Associate's or bachelor's degree in healthcare administration, business, or related field preferred
• 2+ years of experience in medical billing, insurance claims, or revenue cycle operations
• Familiarity with HIPAA compliance and healthcare privacy regulations
• Experience with payer portals and claim tracking systems
• Strong attention to detail and organizational skills
• Proficiency in Microsoft Office (especially Word and Excel)