Reimbursements

Monroe, NY

$20 - $25 an hour

A reimbursement team member should meet their responsibilities in a timely and accurate fashion ensuring clients are getting paid from insurance carriers, handling partial and full denials, keeping a clean AR, and helping prevent potential issues.

Responsibility:

• Post insurance companies’ payments and/or response into the various systems based on client, such as electronic, ERA, or paper explanation of benefits.
• Daily checks on the pending amounts due from carriers and act accordingly.
• Ensure appropriate log-ins are available.
• Reviewing the recent codes of partial and full denials, utilizing carrier portals or calling for clarification as well as resubmission and reconsider given claims with appropriate reasons.
• write up appeals
• address denials as they come up
• discuss with team leader how to eliminate those issues from recurring
• Check with carriers on no response claims based on predefined dates.
• summarize the amounts outstanding and key issues to be discussed with team leader
• Follow up on appeals and claims sent for reconsiderations.

Knowledge/skills/abilities:

• Detail orientated with above-average organizational skills
• Able to plan and prioritize to meet deadlines
• Excellent verbal and written communication
• Communicates clearly and effectively
• Excellent reading comprehension
• Computer experience preferred

Core Values:

• Respectfulness of our unique cultural environment.
• Confidentiality.
• Loyalty.
• Accountability.
• Thoroughness and attention to detail.
• Results-oriented, yet industrious.
• Team Player.
• Positive and helpful attitude to clients and colleagues.