Remote

Reimbursement Coordinator - Home Infusion

WellSky
parental leave, paid time off, paid holidays, 401(k)
United States
Nov 16, 2024
The Reimbursement Coordinator generates and collects Home Infusion claims for submissions to patients and/or third-party payers. These claims result from products and services delivered to or administered to patients on behalf of our clients. The Reimbursement Coordinator also performs collection follow up on primary and secondary claims. A day in the life! You will be responsible for the following: Obtaining billing information from Clients and generating daily claims Performing Q.A. of charges received from Clients and making modifications/changes as required to produce a clean claim Reviewing contract/details of new payers before billing. Working with supervisor/manager on changes needed in the billing system (e.g., CPR+, CareTend) Tracking pending claims Submitting claims to insurance companies in a timely fashion and within the individual insurance company's timely filing period. Preparing and/or printing all secondary claims that do not automatically cross over from Medicare or other primary payer Following up on patient balances within established timeframes. Obtaining claim's status by calling the payer and/or using an online payer portal Utilizing reports to determine tasks that require follow up Taking appropriate action for escalating claims not paid within 60 days or for denied appeals Preparing write-off request when bad debt is identified. Documenting description of the reason for the write-off. Researching claim payments, partial payments, over payments. Prioritizing claims to identify Top Ten high balance accounts. Keeping accounts current until complete. Preparing report of Top Ten accounts monthly for supervisor/manager review. Preparing status report with supporting documentation of all claims over 90/120 days Do you have what it takes? Required Qualifications: 1-2 years of billing and/or collections or insurance claims processing Do you stand above the rest? Preferred Qualifications: Healthcare insurance claims processing knowledge Healthcare billing and collections knowledge Working knowledge of word and excel Home infusion and durable medical equipment billing and collection experience preferred, IV field experience, medical billing certification, some college education #LI-KL2 #LI-Remote Additional job expectations applicable to this position include: Willingness to work additional or irregular hours as needed Working in accordance with corporate and organizational security policies and procedures Performing other responsibilities as assigned WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace. Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: Excellent medical, dental, and vision benefits Mental health benefits through TelaDoc Prescription drug coverage Generous paid time off, plus 13 paid holidays Paid parental leave 100% vested 401(K) retirement plans Educational assistance up to $2500 per year