Healthcare Reimbursement Specialist — Billing & AR Expert

Empath Health; West Palm Beach (FL); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement with company match

Wellness programs

Job summary

Empath Health is seeking a detail-oriented Reimbursement Specialist to join our Patient Accounting Team. You will compile, review, and process billing and AR documents, insurance bills and payments, and maintain AR and patient service revenue records and reports.

You will prepare monthly billings, reconcile cash receipts, review AR bills for accuracy, and focus on resolving denials and ensuring timely payments from Medicare/Medicaid and insurance providers.

Qualifications

• Associates Degree with one year previous billing/medical office related experience preferred.
• Demonstrated experience in general healthcare billing practices; proficiency with billing software and Netsmart, HCHB EMR within 3 months of post-hire.
• Knowledge of Medicare/Medicaid billing regulations.
• Knowledge and familiarity with medical terminology.
• Strong interpersonal, communication and customer service skills.
• Strong PC skills, including proficiency in Microsoft Office Suite, database applications and medical billing applications.

Responsibilities

• Prepares, reviews, and submits monthly billings according to established procedures.
• Matches bills with census and identifies discrepancies; reviews patient billing revenues for accuracy.
• Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
• Reviews and corrects accounts receivable bills/records before transmission or mailing.
• Clear rejections, denials and returned claims, follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
• Completes billing audits to ensure accuracy and/or compliance.
• Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.

Skills

Billing experience

Accounts receivable

Interpersonal communication

Education

Associate's Degree

Tools

Netsmart

HCHB EMR

Job description

Empath Health is seeking a detail-oriented Reimbursement Specialist to join our Patient Accounting Team. You will compile, review, and process billing and AR documents, insurance bills and payments, and maintain AR and patient service revenue records and reports.

You will prepare monthly billings, reconcile cash receipts, review AR bills for accuracy, and focus on resolving denials and ensuring timely payments from Medicare/Medicaid and insurance providers.