Senior Reimbursement Specialist - Remote

Fairview Pharmacy Solutions; Minneapolis (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a growing Fairview Pharmacy Solutions team as a Senior Reimbursement Specialist, where you will manage billing and collections related to Medicare claims. This remote position requires analytical skills and attention to detail, ensuring timely and accurate claims processing while maintaining customer satisfaction and compliance with regulations.

Benefits

Medical, dental, vision plans

Life insurance

PTO and Sick and Safe Time

Tuition reimbursement

Retirement plan

Early access to earned wages

Qualifications

• 3-5 years medical billing or collection experience, Medicare, Medicaid, Third Party experience.
• Maintain current knowledge of client requirements and regulations.
• Ability to communicate effectively under stress.

Responsibilities

• Ensure accurate and timely billing, collections, appeal of home infusion claims.
• Provide superior customer service to internal/external customers.
• Analyze accounts for documentation, authorization, and necessary information.

Skills

Attention to detail

Analytical thinking

Customer service

Problem-solving

Education

High School Diploma/GED

Vocational Training

Associate Degree or Certified Medical Billing

Job description

Senior Reimbursement Specialist - Remote

Join to apply for the Senior Reimbursement Specialist - Remote role at Fairview Pharmacy Solutions

Senior Reimbursement Specialist - Remote

1 week ago Be among the first 25 applicants

Join to apply for the Senior Reimbursement Specialist - Remote role at Fairview Pharmacy Solutions

Job Overview

Our Fairview Pharmacy Solutions team is growing and we are seeking the perfect team members to join us in making an impact in the Pharmacy world.

Job Overview

Our Fairview Pharmacy Solutions 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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Fairview Pharmacy Solutions by 2x

Sign in to set job alerts for “Reimbursement Specialist” roles.

MDS Solutions - Clinical Reimbursement Specialist

Intake Reimbursement Specialist - Remote

Bloomington, MN $25.00-$25.00 2 months ago

St Paul, MN $41,600.00-$57,200.00 1 month ago

Eden Prairie, MN $23.00-$28.00 2 months ago

Department Specialist- Class A (12-month)

Minneapolis, MN $40,000.00-$46,000.00 1 week ago

Associate Clinic Business Representative - Multiple positions and locations available

Correspondence Representative - National Remote

Corporate Accounts Receivable Billing Specialist (Eagan)

General Inquiries - Corporate Office Positions

Minneapolis, MN $77,000.00-$85,000.00 15 hours ago

Patient Services Coordinator Ambulatory II - FOH, First Episode Psychosis (FEP)

Registration Specialist Senior, Admitting and Registration

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.