Reimbursement Specialist
- Job Title
- Reimbursement Specialist
- Job ID
- 794501
- Begin Date
- 4/15/14
- Duration
- Location
- Norfolk, VA
- Other Location
- Description
-
BioScrip, Inc. is one of the nation’s leading specialty infusion and home healthcare companies! BioScrip’s focus is clinical excellence and improving the quality of our patients’ lives. With over 3,800 employees able to service 48 states, BioScrip has externally-qualified Centers of Excellence built around specific clinical conditions and therapies. Ours is a fast-paced dynamic work environment with room for new ideas and opportunities for career advancement. We offer a wide array of welfare benefits as well as Tuition Reimbursement and a 401(k) plan with an employer match.
Due to our exceptional growth and success, we are recruiting for a well-qualified Reimbursement Specialist to join our team in Norfolk, VA!
Position Summary:
This position contacts insurance payors to obtain payments on outstanding balances. Position researches and resolves aged account receivables and takes appropriate actions to maximize collections and achieve departmental goals in an appropriate, professional and timely manner according to HCP guidelines.
Roles & Responsibilities:
- Research, appeal, and resolve claim rejections and underpayments according to established HCP guidelines
- Adjust accounts as appropriate
- Initiate refund requests as necessary
- Work closely with facilities, teammates, and other customers to enhance claim resolution
- Provide support to other areas (including Cash Posting, Patient Collections, Authorization and Verification, Front End Billing) as needed
- Establish and maintain a comprehensive understanding of assigned payor billing and payment rules and regulations
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and HCP/BioScrip Policies
- Provide updates to supervisor regarding changes, observations, and opportunities for improvement
- Other duties and responsibilities as assigned include but are not limited to:
- Work overtime with little or no notice as needed
- Attend team meetings, phone conferences, and training as needed
- Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
- Complete special assignments involving A/R research and resolution
- Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
Education & Training:- High School Diploma or General Education Degree (GED) required
- Minimum of one (1) year’s medical insurance follow up and collections experience required
- Basic computer proficiency in Microsoft Office including Word, Excel and Outlook required; intermediate proficiency in all HCP and BioScrip billing software required within 90 days of hire or position change
BioScrip is an equal opportunity employer. All employment decisions are made without regard to age, color, race, ancestry, national origin, disability, genetic information, military status, religion, creed, sex, pregnancy, childbirth, marital status, citizenship, sexual orientation, gender identity, gender expression, legally protected medical condition, or any other basis prohibited by applicable law. Background checks and drug screens are part of our hiring process. AA/EOE, M/F/D/V. - Research, appeal, and resolve claim rejections and underpayments according to established HCP guidelines
- Openings
- 1
