Premium Pay Patient Reimbursement Specialist
Title: Premium Pay Patient Reimbursement Representatives
Location: Plano, Texas
Phone: 972-733-3190
Occupation: Administrative Healthcare
The Reimbursement Representative files insurance and collects on accounts assigned in a timely and accurate manner.
Responsibilities:
Responsible for all collection activities on identified PPP (Premium Pay Patients) accounts.
- Understands billing requirements for Medicare, Medicaid, contracted and commercial payors
- Follows up on all denials on a timely basis
- Reviews EOB/EOMB’s for proper reimbursement
- Monitors all contracts and single patient agreements to ensure that appropriate reimbursement is received
- Obtains benefit plans when necessary to file appropriate appeals for claims that have not been paid at the appropriate rate
- Ensures that all timely filing requirements are met and claims are followed up on in a timely and appropriate manner to eliminate timely filing denials and non-payment of claims
- Understands all governmental and commercial compliance regulations related to healthcare billing and accounts receivable management
- Follows up on unpaid/unresolved account balances on a daily basis, and notates follow up response on patient accounts
- Completes re-bill request as necessary to facilitate timely and proper claims payment
- Follows up on unresolved account balances
- Provides insurance carriers with requested information to facilitate payment
- Prepares adjustment and write-off requests as necessary
Qualifications:
- High School diploma or GED required.
- At least three years of experience in a health/medical billing and collection office.
- Proficient in 10 key and alpha/numeric data entry.
- Advanced knowledge in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use.
- Ability to work in a fast-past, deadline driven environment.
Dynamic Global StaffingTM is an equal opportunity employer. It is our policy to abide by all federal, state and local laws including but not limited to those prohibiting discrimination based solely on a person's race, color, religious creed, sex, national origin, pregnancy, physical or mental disability, age, military status or status as disabled veteran, genetic information or any other protected status except where a reasonable, bonafide occupational qualification exists