Reimbursement Specialist

Reimbursement Specialist I

The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill claims and / or invoices, follows up on unpaid accounts, and provides support and customer service to branch offices regarding billing concerns.

Essential Duties and Responsibilities :

• Processes and posts revenue, making changes as needed
• Ensures sales have appropriate documentation such as nursing notes, worker timecards, authorization, purchase order, and other payer requirements as appropriate
• Accurately generates claims and / or invoices of sales and bills a variety of payer sources via mail, fax, web portal or electronic clearinghouse
• Researches and follows up on unpaid accounts after expected payment timeframe
• Corrects, resubmits claims and / or appeals claim determinations as necessary to ensure payment
• Follows all quality processes for department / team to avoid preventable write-offs and improve collections efforts
• Provide great customer service for our office partners, patients, other departments and payers
• Keeps Team Leader informed of problem accounts or potential impacts to cash collections and AR
• Performs other duties as assigned

Minimum Requirements :

At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits :

Medical / Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account, 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and Dismemberment Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Accident Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance, Pet Insurance, MilkStork, Transportation Benefit, Educational Assistance Program, College Partnership Program, Paid Time Off / Company Holidays

Amergis is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.