Reimbursement Specialist I

FFF_Enterprises in; Temecula (CA); On-site; USD 42,000 - 64,000; Full time

Job summary

FFF Enterprises in Temecula, CA seeks a Reimbursement Specialist I to support the Nufactor Reimbursement team with clerical tasks and billing-related activities.

The role requires attention to detail, strong communication, HIPAA compliance, and familiarity with EMR systems and MS Office; on-site office environment.

Qualifications

• High school diploma or equivalent required.
• Minimum of five (5) years health care and/or clerical related experience.
• Basic knowledge of department workflow.
• Excellent verbal and written communication skills with customers, coworkers, and leadership.
• Ability to work with a high degree of accuracy and as part of a team.
• Ability to exercise discretion and maintain HIPAA confidentiality.
• Basic proficiency with MS Outlook, Word and Excel; familiarity with EMR systems and SOR.

Responsibilities

• Process mail, daily bank deposits, credit cards, scan documents, EMR indexing, and faxing.
• Process audit and medical records requests.
• Code nursing notes and invoices; manage faxes and distribution.
• Prepare and distribute emergency medical cards for new patients.
• Attend meetings and training; seek process improvements.
• Comply with company policies, federal/state regulations, and HIPAA standards.
• Work with coworkers and customers; share ideas and maintain productivity.

Skills

Communication

Attention to detail

Teamwork

Independent judgment

HIPAA compliance

Education

High school diploma or equivalent

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Reimbursement Specialist I

Position Summary

This position provides clerical support of the Nufactor Reimbursement team, management, and staff.

Essential Functions and Duties

• Process mail, prepare the daily bank deposit, process credit cards, scan documents, EMR indexing, and faxing.
• Process audit and medical records requests.
• Process and code nursing notes and invoices.
• Manage faxes and ensure timely and appropriate distribution.
• Prepare and distribute emergency medical cards for new patients.
• Attend and participate in job-related meetings and training. Continuously strive to improve processes and service quality.
• Adheres specifically to all company policies and procedures, Federal and State regulations, and laws.
• Display dedication to position responsibilities and achieve assigned goals and objectives.
• Always represent the Company in a professional manner and appearance.
• Understand and internalize the Company's purpose,
• Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listen to and objectively consider ideas and suggestions from others; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others by name, title, or other respectful identifier, and respect the diversity of our work force in actions, words, and deeds.
• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.
• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company. Immediately report any concerns or violations.
• Other duties as assigned.

Education, Knowledge, Skills and Experience

Required Education:

• High school diploma or equivalent required.

Required Experience:

• Minimum of five (5) years health care and/or clerical related experience.

Required Knowledge:

• Basic knowledge of department workflow.

Required Skills:

• Excellent verbal and written communication skills, along with the ability to interact effectively with customers, coworkers, and all levels of leadership.
• Ability to work with a high degree of accuracy.
• Ability to participate and work as an integral member of a team.
• Ability to make independent judgments and work with minimal supervision.
• Ability to respond to and recommend solutions when problems are identified.
• Ability to be detail oriented with s trong organizational skills and the ability to manage multiple assignments and responsibilities. Ability to prioritize tasks, work effectively, and maintain expected productivity.
• Ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards.
• Basic Microsoft Outlook, Word and Excel. Basic understanding of Electronic Medical Record (EMR) systems and various Systems of Record (SOR).

Physical requirements

Vision, hearing, speech, movements requiring the use of wrists, hands, and/or fingers. Must have the ability to view a computer screen for prolonged periods and the ability to sit for extended periods. Must have the ability to work the hours and days required to complete the essential functions of the position, as scheduled. The employee occasionally lifts to 20 lbs. and occasionally kneels and bends. Must have the ability to travel occasionally. Working conditions include normal office setting.

Mental Demands

Learning, thinking, concentration, and the ability to work under pressure, particularly during busy times. Must be able to pay close attention to detail and be able to work as a member of a team to ensure excellent customer service. Must have the ability to interact effectively with co-workers and customers, and exercise self-control and diplomacy in customer and employee relations situations. Must have the ability to exercise discretion as well as appropriate judgments when necessary. Must be proactive in finding solutions

Direct Reports

No

EEO Statement

FFF Enterprises and Nufactor are an equal opportunity employer and prohibits discrimination and harassment based on the following characteristics: race, color, religion, national origin, physical or mental disability, gender, age (40 years and over) qualified veteran and any other characteristic protected by state or federal anti-discrimination law covering employment. These categories are defined according to Government Code section 12920. The Company prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics.