Reimbursement Specialist

GENERAL DESCRIPTION

Performs moderately complex medical billing and account receivable follow up functions.  Responsibilities include batch/submit claims to multiple insurance companies and track reimbursement.  Enter EOB correspondence, payments, and denials.  Re-work rejections, conduct reconsiderations and appeals, submits medical records, and reconcile issues with insurance companies.  Monitor dual coverage clients to ensure accurate billing.  Runs various reports to monitor claims and accounts receivable.  Communicates with peers, consumers and management regarding any insurance or claims issues.  Assist and/or serve as backup in any billing area and other duties as requested by supervisor.  Works under moderate supervision with considerable latitude for the use of initiative and independent judgment.

EDUCATION, TRAINING, & EXPERIENCE

• High School diploma or General Education Degree (GED);
• Two (2) years related experience and/or training, or equivalent combination of education and experience.
• Knowledge of billing and coding requirements, regulations and claims clearinghouse experience is a must.
• Minimum 3 years billing experience. (Preferred) 

ESSENTIAL TASKS & STANDARDS

• Create and submit claims to insurance.
• Enter EOB correspondences into database and post payments.
• Rework rejections, denials, and conduct appeals.
• Monitor AR Weekly – Run various reports to capture maximum reimbursement from insurance.
• Communicate coverage information and denials.
• Assist in monthly closing and bookkeeping process.
• Reconcile accounts receivable in a timely manner.
• Communicates with divisional staff, peers, and management in a timely manner.

KNOWLEDGE, SKILLS, & ABILITIES

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• Must have good communication skills, be well organized, a self-starter and be able to complete assigned duties in a timely manner.
• Knowledge of MS Word, Excel, medical practice management systems and intermediate computer operational skills is a plus.
• Must have a valid Texas driver’s license

CERTIFICATES, LICENSES, & REGISTRATIONS

• Must have valid Texas Driver License and a good driving record.
• Must be able to pass a criminal background check.
• Must be able to complete all LifePath Systems training.
• Must be able to provide at least 3 professional or educational references. 

BENEFITS

Salary Range: $16 - $18 per hour              

Shift Hours: Monday through Friday 8am - 5pm

We offer a competitive salary and comprehensive benefit package including medical, dental, FSA, 401(k), voluntary benefits, Paid Time Off (PTO) and Extended Illness (EI), and Holidays.

If interested, please complete an online application at LifePath Systems Job Openings and attach your resume

Equal Opportunity Employer

LifePath Systems is an equal opportunity employer (Minorities/Females/Disabled/Veterans). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state, or local law.

To read more about this, view the EEO is the Law poster and this EEO is the Law Poster Supplement.