Lead Reimbursement Specialist - remote, must be based in MT or PST

Telecare Corporation; Alameda (CA); Remote; USD 70,000 - 82,000; Full time

Benefits offered by this job

Paid Time Off

9 Paid Holidays & shift differentials

Free CEUs and supervision for licenses

Online University Tuition Discount

Job summary

Telecare Corporation in California is seeking a Reimbursement Specialist to manage billing and collections for Medicare, Medi-Cal/Medicaid, counties, and commercial insurers. You will stay current on CPT codes and contract rates and communicate changes to all affected sites, with some travel expected.

This full-time, day-shift role offers competitive pay and comprehensive benefits. The ideal candidate has 5 years of medical billing experience or 2 years of college plus 1 year in healthcare,

Qualifications

• Five (5) years of prior medical billing experience or two (2) years of college and one (1) year of healthcare experience.
• Extensive knowledge of Medicare, Medi-Cal/Medicaid and commercial insurances.
• A high level of PC literacy, especially in Excel and Word.
• The ability to operate independently, utilizing past extensive reimbursement experience and judgment.
• This position requires the demonstrated capacity to work with sophisticated automated billing systems.
• Applicant must be fingerprinted and receive clearance from the Department of Justice and The Office of inspector General.
• Must be at least 18 years of age.
• Background checks and regulatory verifications are required.

Responsibilities

• The Reimbursement Specialist is responsible for all billing and collection activities for assigned fee-for-service facilities, including Medicare and Medi-Cal/Medicaid, counties, commercial insurance and members.
• Keeps up to date on CPT and other coding changes and communicates those changes to all affected parties at Telecare.
• May travel to locations where Telecare does business or plans to do business.

Skills

Medical billing

Healthcare experience

Excel

Word

Independent work

Automated billing systems

Education

Two years college

Tools

Excel

Word

Job description

"They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live…" - Client from Telecare

What You Will Do to Change Lives

The Reimbursement Specialist is responsible for all billing and collection activities for assigned fee for service/third party facilities, including Medicare and Medi-Cal/Medicaid, counties, commercial insurance and members served. Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business.

Shifts Available:

Full-Time | DAYS | Shifts: 8:30 AM - 5:00 PM | Days: Monday - Friday

Expected starting wage range is $70,304.00 - $82,280.72. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.

What You Bring to the Table (Must Have)

• Five (5) years of prior medical billing experience or two (2) years of college and one (1) year of healthcare experience.


• Extensive knowledge of Medicare, Medi-Cal/Medicaid and commercial insurances


• A high level of PC literacy, especially in Excel and Word


• The ability to operate independently, utilizing past extensive reimbursement experience and judgment


• This position requires the demonstrated capacity to work with sophisticated automated billing systems


• Applicant must be fingerprinted and receive clearance from the Department of Justice and The Office of inspector General


• Must be at least 18 years of age


• All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver's license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply.

What's In It For You*

• Paid Time Off: Eligible employees (20+ hours/week) earn PTO each pay period for vacation and personal needs, with pro-rated accrual for part-time schedules and annual carryover up to set caps.

• Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for NOC Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend NOC Shift)

• Free CEUs, free Supervision for BBS Associate License, coaching, and mentorship

• Online University Tuition Discount and Company Scholarships

• Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan

• For more information visit: https://www.telecarecorp.com/benefits

Join Our Compassionate Team

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.

EOE AA M/F/V/Disability

*May vary by location and position type

Full Job Description will be provided if selected for an interview.

If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.