Reimbursement Coordinator - Home Infusion

WellSky Corporation; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

An innovative technology company is seeking a Reimbursement Coordinator to join their Home Infusion team. In this fully remote role, you'll be responsible for ensuring accurate billing and reimbursement processes for healthcare services. This position offers the chance to make a significant impact in the healthcare sector while working collaboratively in a supportive environment. With a focus on independent thinking and inclusiveness, this role is perfect for those who thrive on challenges and want to contribute to better health outcomes. Enjoy a comprehensive benefits package and the opportunity for professional growth.

Benefits

Excellent medical, dental, and vision benefits

Mental health benefits through TelaDoc

Prescription drug coverage

Generous paid time off

Paid parental leave

401(K) retirement plans

Educational assistance up to $2500 per year

Qualifications

• 1-2 years of relevant work experience in healthcare billing.
• Knowledge of claims processing and collections in the healthcare sector.

Responsibilities

• Obtain billing information and generate claims for timely processing.
• Research and resolve claims payments and discrepancies.

Skills

Healthcare insurance claims processing

Healthcare billing and collections

Attention to detail

Communication skills

Education

GED or High School Diploma

Some college education

Tools

Microsoft Word

Microsoft Excel

Job description

Reimbursement Coordinator - Home Infusion page is loaded

Reimbursement Coordinator - Home Infusion

Apply remote type Fully Remote locations Remote - US time type Full time posted on Posted 4 Days Ago job requisition id JR2252

The Reimbursement Coordinator is responsible for following the reimbursement process to ensure timely and accurate payment for products and services provided to patients on behalf of WellSky clients. The scope of this job includes overseeing claims processing, payment posting and follow-up activities, along with addressing discrepancies and resolving claims denials.

This opening is for our Home Infusion team. We invite you to apply today and join us in shaping the future of healthcare!

Key Responsibilities:

• Obtain billing information from clients to generate claims, perform QA of charges, and make modifications or changes as required to produce a clean claim.
• Submit claims to insurance companies within the individual insurance company's timely filing period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primary payer, and track pending claims.
• Utilize reports to determine tasks that require follow up and obtain claim's status by calling the payer and/or using an online claims status system.
• Research claim payments, partial payments and over-payments, and take appropriate action for escalating claims not paid within 60 days or for denied appeals.
• Perform collection follow up actions on primary and secondary claims as well as patient balances as assigned.
• Prepare write-off forms when bad debt is identified and document description of the reason for each write-off.
• Perform other job duties as assigned.

Required Qualifications:

• GED or High School Diploma
• At least 1-2 years of relevant work experience

Preferred Qualifications:

• Healthcare insurance claims processing knowledge
• Healthcare billing and collections knowledge
• Working knowledge of word and excel
• Home infusion and durable medical equipment billing and collection experience preferred, IV field experience, medical billing certification, some college education

Job Expectations:

• Willing to work additional or irregular hours as needed
• Must work in accordance with applicable security policies and procedures to safeguard company and client information
• Must be able to sit and view a computer screen for extended periods of time

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WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical, dental, and vision benefits
• Mental health benefits through TelaDoc
• Prescription drug coverage
• Generous paid time off, plus 13 paid holidays
• Paid parental leave
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year

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