Reimbursement Consultant - AmerisourceBergen Corporation (San Mateo, CA)
Title:
Reimbursement Consultant Job Number:
000013SB POSITION
Summary:
Under the general supervision of the Reimbursement Supervisor / Manager, is responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.
PRIMARY DUTIES AND
Responsibilities:
Collects and reviews all patient insurance information needed to complete the billing, collections, appeal, and/or cash processes.
Independently analyzes, reports, resolves, and communicates any reimbursement trends/delays (e.
g.
billing denials, claim denials, pricing errors, payments, etc.
).
Processes any necessary insurance/patient correspondence.
Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process.
Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate.
Independently and effectively resolves complex accounts with minimal supervision.
Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims.
Acts independently to determine methods and procedures on new or special assignments.
May be responsible for coordination of services with field reimbursement teams and sales representatives.
Performs related duties and special projects as assigned.
Qualifications:
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, or similar vocations generally obtained through completion of a two year associates degree program, technical vocational training, or equivalent combination of experience and education.
Five (5) or more years directly related and progressively responsible experience preferred.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
Ability to communicate effectively both orally and in writing.
Strong interpersonal skills.
Strong negotiating skills.
Strong mathematical skills.
Strong analytical skills.
Strong organizational skills; attention to detail.
Extensive knowledge of accounting principles, pharmacy operations, and medical claims.
Extensive knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding.
Comprehensive understanding of commercial and government payers.
Demonstrates an understanding of complicated reimbursement issues, including but not limited to pricing, contract analysis, payor requirements and operating systems.
Ability to expertly use Microsoft Excel, Outlook and Word.
Job:
Customer Service & Call Center Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
Reimbursement Consultant Job Number:
000013SB POSITION
Summary:
Under the general supervision of the Reimbursement Supervisor / Manager, is responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved.
PRIMARY DUTIES AND
Responsibilities:
Collects and reviews all patient insurance information needed to complete the billing, collections, appeal, and/or cash processes.
Independently analyzes, reports, resolves, and communicates any reimbursement trends/delays (e.
g.
billing denials, claim denials, pricing errors, payments, etc.
).
Processes any necessary insurance/patient correspondence.
Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process.
Verifies transactions and processes comply with organizational and departmental policies and procedures; suggests changes and solutions as appropriate.
Independently and effectively resolves complex accounts with minimal supervision.
Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims.
Acts independently to determine methods and procedures on new or special assignments.
May be responsible for coordination of services with field reimbursement teams and sales representatives.
Performs related duties and special projects as assigned.
Qualifications:
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, or similar vocations generally obtained through completion of a two year associates degree program, technical vocational training, or equivalent combination of experience and education.
Five (5) or more years directly related and progressively responsible experience preferred.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
Ability to communicate effectively both orally and in writing.
Strong interpersonal skills.
Strong negotiating skills.
Strong mathematical skills.
Strong analytical skills.
Strong organizational skills; attention to detail.
Extensive knowledge of accounting principles, pharmacy operations, and medical claims.
Extensive knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding.
Comprehensive understanding of commercial and government payers.
Demonstrates an understanding of complicated reimbursement issues, including but not limited to pricing, contract analysis, payor requirements and operating systems.
Ability to expertly use Microsoft Excel, Outlook and Word.
Job:
Customer Service & Call Center Source:
.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
