Senior Reimbursement Specialist - Remote

Fairview Health Services; Minnesota; Hybrid; USD 45,000 - 65,000; Full time

Job summary

Fairview Health Services is seeking a Medical Billing Specialist to join their Pharmacy team. This remote role (with some onsite requirements) focuses on billing, collections, and account management, demanding attention to detail and analytical skills. Successful candidates will possess strong customer service abilities and knowledge of Medicare/Medicaid policies while benefiting from comprehensive compensation packages.

Benefits

Medical insurance

Dental insurance

Vision plans

Life insurance

Retirement plans

Tuition reimbursement

Qualifications

• 3-5 years of medical billing and collection experience.
• Knowledge of Medicare/Medicaid regulations required.
• Proficiency with PC software and A/R systems.

Responsibilities

• Maintain and update billing activity and ensure timely collections.
• Analyze accounts for documentation and authorization.
• Provide excellent customer service to internal/external customers.

Skills

Attention to detail

Analytical thinking

Customer service

Proficient in English

Problem-solving

Education

High School Diploma/GED

Vocational Training

Certified Medical Billing

Associate Degree

Job description

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