Reimbursement Specialist

Job Type Full-time Description PromptCare is seeking a highly motivated, experienced and detail-oriented Reimbursement Specialist to join our team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare’s policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion Reporting to: Departmental Lead, Supervisor or Manager Job Type: Non-Exempt, Full-time, 40 hours per week, Monday-Friday Location: Remote Requirements High School Diploma or equivalent2-3 years of experience in electronic claims submission and medical collections preferredWorking knowledge of insurance plans including Medicare and Medicaid requiredIndustry experience with billing/collections in DME, home infusion and/or enteral preferredAccounts receivable and accounting experience preferredKnowledge of CPR+ and/or Caretend software preferred Job Responsibilities, Included But Not Limited To Collections of third-party payor accounts for assigned payersEnsure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and researchMaintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plansIdentify adjustments, payment trends and denials and ensure problems are escalated as necessaryMaintain confidentiality in all aspects of patient care, employee activities and office environmentCommunicate changes regularly or as often as neededWork collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collectionsAssist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processesField and troubleshoot calls from patients regarding benefit, claims and patient balancesPro-actively seek resolutions to any billing issues that may arisePerform CPR+/Caretend related transactions accurately and timelyPerform other duties as assigned Physical Demands The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. Benefits & Perks Comprehensive Medical, Dental, and Vision Package401(k) Plan with Company MatchGenerous PTO: Vacation, Sick Time, Personal Days, and Paid HolidaysLife Insurance: Standard coverage with optional enhancementsEmployee Assistance Program: Free counseling and coaching sessionsEmotional Well-being and Work-Life Balance ResourcesShort & Long-Term Disability: Company-paid with optional supplementsAccidental Death and Dismemberment InsuranceFSA and HSA: Manage healthcare expensesCommuter Spending ProgramsVolunteer and Engagement OpportunitiesEmployee Referral BonusesExclusive Discounts on entertainment, travel and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.