Medicare Reimbursement Specialist I

Health & Human Services Comm; Terrell (TX); Vor Ort; USD 31.000 - 46.000; Vollzeit

Benefits dieser Stelle

100% health insurance for full-time

Defined benefit pension plan

Generous paid time off

Zusammenfassung

Health & Human Services Comm in Terrell, TX, seeks a Reimbursement Officer I to perform routine reimbursement and claims processing, gathering monthly reimbursable services, and maintaining Medicare/third-party payor records. The role includes audits, data entry, and coordination with physicians on coding accuracy.

The position emphasizes accurate documentation, use of AVATAR, and compliance with Medicare requirements. It offers state benefits and regular day shifts at Terrell State Hospital.

Qualifikationen

• Knowledge of the principles of collection and accounting.
• Knowledge of the rules and regulations governing reimbursement for agency services.
• Knowledge of Medicare Part A, Part B and Part D, ICD-10-CM, CPT and HCPCS codes for billing.

Aufgaben

• Gathers all rendered, reimbursable services for individuals with Medicare or other third-party payor on a monthly basis.
• Prepares a Monthly Charge Report for individuals with Medicare or other third-party payors, using information from AVATAR and medical records.
• Enrolls eligible individuals into a Medicare Part D Drug Program and updates CARE System.

Kenntnisse

Knowledge of accounting principles

Understanding of reimbursement rules

Medicare Part A/B/D knowledge

Electronic Health Records skills

Communication skills

Tools

Excel

Jobbeschreibung

Health & Human Services Comm in Terrell, TX, seeks a Reimbursement Officer I to perform routine reimbursement and claims processing, gathering monthly reimbursable services, and maintaining Medicare/third-party payor records. The role includes audits, data entry, and coordination with physicians on coding accuracy.

The position emphasizes accurate documentation, use of AVATAR, and compliance with Medicare requirements. It offers state benefits and regular day shifts at Terrell State Hospital.