Reimbursement Specialist: Patient Billing & Denials

Empath Health; Palm Harbor (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

Empath Health is seeking a detail-oriented Reimbursement Specialist to join our Patient Accounting Team. The role focuses on compiling, reviewing, and processing billing and accounts receivable documents, insurance bills and payments, and maintaining AR and patient service revenue records.

In this position you will prepare monthly billings, reconcile cash receipts, review AR records, and follow up on rejected or denied claims with Medicare/Medicaid and insurers.

Qualifications

• Associates Degree with one year previous billing/medical office related experience preferred.
• Knowledge of Medicare/Medicaid billing regulations.
• Knowledge and familiarity with medical terminology.
• Proficiency with billing software and Netsmart, HCHB EMR within 3 months of post-hire.

Responsibilities

• Prepares, reviews, and submits monthly billings according to established procedures. Matches bills with census and identifies discrepancies; reviews patient billing revenues for accuracy.
• Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
• Reviews and corrects accounts receivable bills/records before transmission or mailing.
• Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
• Completes billing audits to ensure accuracy and/or compliance.
• Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.

Skills

Interpersonal skills

Communication

Customer service

Education

Associates Degree or equivalent

Tools

Netsmart

HCHB EMR

Billing software

Job description

Empath Health is seeking a detail-oriented Reimbursement Specialist to join our Patient Accounting Team. The role focuses on compiling, reviewing, and processing billing and accounts receivable documents, insurance bills and payments, and maintaining AR and patient service revenue records.

In this position you will prepare monthly billings, reconcile cash receipts, review AR records, and follow up on rejected or denied claims with Medicare/Medicaid and insurers.