Job Summary

Reimbursement Specialist

  • Location:
    Durham , North Carolina
  • Category:
    Customer Service (non-IT)
  • Contract Type:
    Contract/Temporary
  • Job reference:
    US_EN_3_108165_321373

A Reimbursement Specialist job in Durham, NC is available courtesy of Modis Engineering. In this role, you will maximize company profitability and foster an efficient, team-oriented work environment for all. Review/ensure all necessary patient and customer (clinic) information is received and updated as required to facilitate claims processing and billing. Coordinate, process, & file of prior authorizations with Medicare, Medicaid, and private payor insurance companies for external parts & accessories with or on behalf of clinics, hospitals, and patients. This is a 6-9 month contract opportunity starting immediately.

The Reimbursement Specialist job responsibilities include:

Assist other departments in achieving company goals when department overloads arise.
Accept special projects and assignments as business requires.
Search for ways to streamline procedures and otherwise improve efficiency for the department and the company as a whole.
Claims filing and processing with public and private payors, including primary and secondary filings.
Invoicing/billing with accounting software and claims entry/processing with reimbursement software.
Assist patients and customers with claims status, billing inquiries, and other reimbursement matters.

QUALIFICATIONS:

Ability to multi-task to keep numerous PA’s, claims, and billing transactions progressing forward at the same time toward successful resolution (i.e. maximum company profit while optimizing patient and customer positions).
Ability to handle numerous interruptions from patients, customers, and fellow depts. in a courteous, professional, and helpful manner.
Ability to maintain concentration and attention to intricate details for extended periods while sitting at a desk.
Ability to sort thru and merge complex and convoluted systems, procedures, and criteria imposed by payors, clinics, and hospitals toward successful resolution (i.e. maximum company profit while optimizing patient and customer positions).
Mathematical skills for computing and adjusting dollar amounts for claims, billings, rate approvals, and collections.
Obtain/maintain current hands-on knowledge of CPT, HCPCS, and ICD-9 Coding systems, electronic claims filing and billing systems, and Microsoft Office programs (Word, Excel).
Maintain current extensive knowledge of Medicare/Medicaid and private payor insurance programs as related to authorization of medical services, eligibility, and insurance billing related to company products.

If you are interested in this Reimbursement Specialist job in Durham, NC then please click APPLY NOW. For other opportunities available at Modis go to www.Modis.com.

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Equal employment opportunity information:
EEO is the Law (poster) | EEO is the Law (poster supplement) | Reaffirmation of Affirmative Action Policy Statement