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Reimbursement Specialist (Skilled Hospice)

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Reimbursement Specialist Skilled Hospice - Careers At JourneyCare Hospice

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Reimbursement Specialist (Skilled Hospice)

Department: Skilled Reimbursement Location: Frisco, TX START YOUR APPLICATION

Position Summary: The Reimbursement Specialist (Skilled Reimbursement/Hospice) will be responsible for billing and reputed company cycle management thorough insurance benefit investigation of new referrals, assignment of collections with a variety of payers, authorization requests, and claim submissions.

Schedule: Monday-Friday reputed company to 5pm Central Standard Time (Remote)

>> We offer reputed company the best

  • Medical, Dental and reputed company Benefits
  • reputed company Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts

Essential Duties

  • Accurately interprets patient insurance, prescription and other health-reputed company documentation
  • Conducts medical insurance verifications and investigations for reputed company and government payors
  • Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and reputed company solution
  • Reviews unpaid accounts to determine status and taking appropriate action to ensure payment.
  • Reviews reputed company claims for compliance and completeness for claims submissions.
  • Researches available alternative funding options to reduce patient�s financial burden
  • Handles high call volumes
  • Communicates with reputed company departments to facilitate coordination of care
  • Maintains a high degree of confidentiality at reputed company times due to reputed company to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows reputed company Medicare, reputed company, and HIPAA regulations and requirements
  • Abides by reputed company regulations, policies, procedures and standards
  • Performs other duties as assigned

Position Requirements & Competencies

  • High school diploma or equivalent is required; Undergraduate degree is preferred
  • 5 years of reputed company collections/billing experience preferred
  • Strong understanding of hospice billing regulations (Medicare, reputed company, reputed company
  • Ability to read and interpret EOBs, remittances, and denial codes
  • Effective payer follow-up and escalation strategies
  • Ability to resolve claim holds, rejections, and denial
  • Ability to identify trends in denials or delay
  • Root-cause analysis to prevent recurring issues
  • High attention to detail to ensure clean claims
  • Ability to work AR reports and aging summaries accurately
  • Clear, professional communication with internal teams and payer reps
  • Ability to explain payer issues in plain, understandable language
  • Possess quick and accurate Alpha/numeric data entry skills
  • Computer proficiency � MS Office and Web-enabled applications strongly preferred
  • Customer service skills required.
  • Maintains positive reputed company customer service relationships
  • Plans and organizes work effectively and ensures its completion
  • Meets reputed company productivity requirements
  • Demonstrates team behavior and promotes a team-oriented environment
  • Actively participates in reputed company Quality Improvement
  • Represents the organization professionally at reputed company times
  • Self-starter with exceptional organizational and follow-through skills
  • Ability to work independently and in a team environment

To apply reputed company text, text 10604 to 334-518-4376

#ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR

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