Senior Reimbursement Specialist - Remote

Lensa; Minneapolis (MN); Hybrid; USD 50,000 - 65,000; Full time

Job summary

Lensa is seeking a Senior Reimbursement Specialist to join their Fairview Pharmacy Solutions team. This remote position requires expertise in Medicare billing and collections, along with strong analytical and communication skills. Candidates should have 3-5 years of relevant experience and be able to work onsite at least one day a week. The role comes with an extensive benefits package and opportunities for professional growth.

Benefits

Generous benefit package

Medical, dental, vision plans

Tuition reimbursement

Qualifications

• 3-5 years of medical billing or collection experience, Medicare, Medicaid, Third Party experience required.
• Proficient in English and basic math skills.
• Ability to maintain confidentiality and assess changing priorities.

Responsibilities

• Responsible for day-to-day functions of assigned accounts including billing and collections.
• Generate and monitor aging reports, ensuring timely collections.
• Provide superior customer service to internal and external clients.

Skills

Attention to detail

Analytical thinking

Customer service

Ability to communicate clearly

Problem-solving

Education

High School Diploma/GED

Associate Degree or Certified Medical Billing

Job description

Senior Reimbursement Specialist - Remote

Senior Reimbursement Specialist - Remote

1 day ago Be among the first 25 applicants

Lensa is a U.S. career site that helps job seekers discover job opportunities. We are not a staffing firm or agency. We promote jobs on behalf of our clients, which include employers, recruitment agencies, and marketing partners.

Job Overview

Our Fairview Pharmacy Solutions (https://www.fairviewpharmacysolutions.com/) team is growing and we are seeking the perfect team members to join us in making an impact in the Pharmacy world.

Job Info: Remote, 1.0 FTE (80 hrs/2 weeks) Monday-Friday; Day Shift - this role will require you to be onsite at least 1 day a week.

This position will be responsible for but not limited to Medicare as a payer. This position requires great attention to detail and analytical thinking due to the complexity of Medicare/Medicaid regulations. Responsible for day-to-day functions of assigned accounts. Maintain and update billing activity. Ensure accurate and timely billing, collections, appeal of home infusion claims. Perform collection tasks to obtain payments. Generate and monitor aging reports. Analyze accounts for documentation, authorization, LCD, and all necessary information to determine the next step in the process. Provide superior customer service in person and on the phone to internal/external customers. Process third party and patient remittances, including posting payments, credits, and adjustments. Timely and accurate application of payments on third party and patient accounts

Required Qualifications

• High School Diploma/GED
• Three to Five years medical billing or collection experience, Medicare, Medicaid, Third Party experience
• Maintain current knowledge of government and private payer requirements and regulations.
• Attend and or complete necessary ongoing training
• Proficient in the English language
• Proficient math skills
• Proficiency with PC software and A/R systems essential including basic typing skills
• Ability to maintain an environment of honest and confidential communications.
• Ability to communicate as needed, both written and verbal information in a clear, concise, accurate and considerate manner.
• Ability to deal professionally, courteously, and efficiently and to remain calm under stress.
• Ability to assess and clarify changing priorities, Proven ability to problem-solve effectively.
  
  

Preferred Qualifications

• Vocational School Vocational Training
• Technical Training
• Associate of Arts Associate Degree or Certified Medical Billing
• 5 years Five+ years of Medicare billing and collections experience for home infusion
• Pharmacy knowledge helpful.
• Certified Pharmacy Technician
  
  

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www..fairview.org/careers/benefits/noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  IT Services and IT Consulting

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