Reimbursement Representative
Title: Reimbursement Representative
Location: Plano, Texas
Phone: 972-733-3190 ext 105
Salary:
Occupation: Administrative Healthcare
Job Responsibilities:
- Reviews EOB/EOMB’s for proper reimbursement
- Resolves electronic claim rejections and EOB denials in a timely manner
- Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment
- Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits
- Performs claim appeals as required
- Assists with credit balance resolution
- Completes re-bill request as necessary to facilitate timely and proper claims payment
- Follows up on resolved account balances including RTP’s
- Prepares adjustment and write-off requests as necessary
Job Requirements:
- High school diploma or GED required
- 3-5 years healthcare/medical collections required
- Base knowledge of medical technology, ICD-9, CPT and HCPCS codes with basic charge and payment posting systems preferred
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.