US Renal Care is seeking a Reimbursement Representative to perform reconciliation and review of outstanding Medicare and commercial patient balances in accordance with reimbursement policies and procedures.
This role focuses on reviewing EOBs/EOMBs, resolving claim rejections and denials, following up on unpaid balances, communicating with insurance carriers, and supporting timely reimbursement and account resolution.
Requirements & Qualifications
Must have:
- High school diploma or GED
- At least 2 years of experience in a health/medical billing and collections office
- Proficiency with computers and medical billing software
- Advanced knowledge of medical terminology
- Knowledge of government and private insurer rules and regulations
- Advanced knowledge of CPT, ICD-9, and HCPCS coding
- Working knowledge of Microsoft Outlook, Word, and Excel
- Ability to use internet resources, including Medicare and Medicaid websites
- Ability to maintain confidentiality and comply with HIPAA requirements
Benefits & Perks
Full-time benefits include:
- Medical / Pharmacy
- Dental
- Vision
- Voluntary benefits
- 401(k) with employer match
- Virtual Care
- Life Insurance
- PTO
Part-time benefits include:
- 401(k) with employer match
- PTO
Location
Plano, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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