Reimbursement Specialist - Liability

About the role

MOR is seeking a Reimbursement Specialist at its Corporate office in Westchester, IL. This position will assist patients, attorneys, and insurance companies with account questions and ensure they understand the billing statements and processes while providing the highest level of customer care.

Responsibilities

• Answer incoming calls into the call center and assist patients/insurance companies with account questions in a courteous and timely manner.
• Ensure patient/insurance companies understand the billing statements and processes to provide the highest level of customer care.
• Facilitate follow-up communications with insurance companies and patients regarding claim/payment status through practice management system and reporting tools.
• Document all actions and maintain a permanent record of patient accounts to ensure a sufficient audit trail.
• Review and adjust balances according to fee schedules and management/MD requests, able to verify that claims have processed correctly by the insurance plan.
• Research and obtain necessary documentation for insurance companies to process outstanding claims.
• Identify denials and appeal with proper documentation within a timely manner to secure payment.
• Answers patients' questions regarding statements and insurance coverage.
• Telephones or emails payers for follow up on outstanding claims.
• Other duties as assigned.

Requirements

• High school diploma or general education degree (GED)
• Minimum of 2 years Accounts Receivable/Collection experience in Motor Vehicle Accident/Personal Injury; preferably in an Orthopedic practice

Qualifications

• Excellent interpersonal and communication skills
• Ability to work independently and as part of a team in a fast-paced environment

Skills

• Strong organizational and time management skills
• Proficient in Microsoft Office Suite
• Knowledge of medical billing and coding standards

Benefits

• Pay Range: $23.00 – $27.00 per hour
• Quarterly bonus eligibility
• Medical, Dental and Vision Insurance
• Paid Time Off and Paid Holidays
• Company-paid life and long-term disability insurance
• Critical Illness and Accident Insurance
• 401(k) Savings Plan
• Tuition Reimbursement
• Commuter Benefits
• Employee Assistance Program (EAP)
• Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA)
• HSA Employer Contribution (when enrolled in a HDHP)

Pay

Pay Range: $23.00 – $27.00 per hour.

Schedule

This position will be a hybrid role after an approximate two-week in-person training.