The Revenue Reimbursement Specialist works to optimize insurance collections, reduce outstanding balances, and maintain accounts receivables. Responsibilities include communicating with payors to resubmit denied or underpaid claims, reviewing claim denials and performing appeals, managing outstanding accounts receivable, following up on aged accounts, conducting audits to verify system integrity and payer accuracy, and resolving errors. The role requires adherence to organizational policies including HIPAA and Corporate Compliance.
Requirements:
- Minimum 2 years experience in Healthcare Revenue Cycle
- Knowledge of Medicare, Medicaid, HMO/PPO/EPO, Work Comp and Commercial Insurance procedures
- Ability to analyze EOBs and AR procedures
- Strong problem-solving skills and ability to make timely decisions
- Certified Coder preferred but not required
- High School Graduate
Benefits include medical, dental, vision, life insurance, disability plans, 401k with company match, wellness programs, paid holidays and time off.
- Minimum 2 years experience in Healthcare Revenue Cycle
- Knowledge of Federal, State and third-party payor reimbursement rules and regulations
- Ability to correspond with insurance payers and management effectively
- Detail oriented with organizational and problem-solving skills
- Certified Coder preferred, but not required
- High School Graduate
Medical, dental, vision, life and AD&D insurance, long and short term disability, 401k with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan, accident, critical illness and hospital benefits, paid holidays, and paid time off.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago