Reimbursement Coordinator

Texana Center; Rosenberg (TX); On-site; USD 30,000 - 33,000; Full time

Job summary

Texana Center in Rosenberg, TX is seeking a Reimbursement Coordinator to manage accounts receivable for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services.

The role requires Medicare/Medicaid and private insurance knowledge, accuracy in claims processing, and serving as the subject matter expert on reimbursement inquiries. Work hours are 8–5, Monday–Friday, with a pay range of $21.47–$23.85 hourly.

Qualifications

• High School Diploma or GED required.
• Five years of experience in medical/behavioral settings with Medicare/Medicaid or private insurance.
• Ability to verify insurance, collect, bill claims and post payments for large health plans.
• Experience with patient account management in an Electronic Health Record.

Responsibilities

• Manage accounts receivable for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services.
• Process third party payments, denials/appeals, and maximize reimbursement under contracts.
• Review all claims to ensure payments align with third party contracts; act as SME for reimbursement inquiries.
• Based in Rosenberg with hours of Monday–Friday 8:00 AM to 5:00 PM; comply with policy.

Skills

Patient account management

Insurance verification

Electronic Health Record

Education

High School Diploma/GED

Associates Degree- Healthcare supplement

Tools

Netsmart MyAvatar

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Financial Services - Bldg D, Rosenberg, TX, US

Salary Range: $21.47 To $23.85 Hourly

Role Responsibilities

The Reimbursement Coordinator is responsible for managing accounts receivables for Behavioral Health, Children’s Center for Autism, Early Childhood Intervention and Intellectual Developmental Disability Services divisions. This includes accurate processing of third party payments, third party denial/appeals processing and maximizing third party reimbursement and third party billing. This position will review all claims processed to ensure that claims are paid in accordance with all third party contracts. This position will serve as the subject matter expert for reimbursement related inquiries related to these programs. This position is under the supervision of the Reimbursement Team Lead. This position will be based in Rosenberg with work hours of Monday through Friday from 8:00AM to 5:00PM. Responsible and accountable for the adherence to and promotion of the compliance policy.

• $21.47 to start
• $23.85 after 1 year

Required Education and/or Certifications, Experience, Skills

• High School Diploma/GED
• Experience with patient account management in an Electronic Health Record
• Five years of experience in a medical or behavioral setting working with Medicare, Medicaid and/or private insurance
• Ability to verify insurance, collections, billing of claims and posting of payments for large health plans
• Detailed and organized

Preferred Education and/or Certifications, Experience, Skills

• Associates Degree- Healthcare supplement by 5 years’ experience in a medical or behavioral setting.
• Experience with the Netsmart Electronic Health Record, specifically MyAvatar
• Appealed denials of claims for large health plans
• Billed large volume of claims electronically and provide quality review
• Working knowledge of provider contracts and credentialing
• Posted payments to client accounts

Job Related Physical Requirements

• Must be able to perform moderate lifting (1.5 lb-4.4lbs) climbing stairs, light carrying reaching above shoulder,
• Must have ability to operate office equipment and operate a motor vehicle

Texana Center is an Equal Opportunity Employer