Job Description - Reimbursement Specialist in Durham
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Reimbursement Specialist

Ref: US_EN_6_914766_1383959

Posted on 22 December 2021
Job Location
Durham, North Carolina
Contract Type
Direct Hire
Category
Administrative / Clerical

A Reimbursement Specialist job in Durham, NC is available courtesy of Modis. 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 payer insurance companies for external parts & accessories with or on behalf of clinics, hospitals, and patients. 

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.   

    Equal Opportunity Employer Minorities/Women/Veterans/Disabled

    Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.modis.com/en-us/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records

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