Medical Reimbursement Specialist

Medical Reimbursement Specialist

Integrated Physicians Management Services is a premier Management Services Organization located in East Hartford, CT, specializing in Physician billing and compliance.

We have an immediate opening for an experienced Medical Reimbursement Specialist to join our billing team whose focus is to deliver quality services and maximize reimbursement for our clients through quality, specialized billing and effective revenue cycle management. We are continually expanding our business and are interested in discussing this exciting opportunity with those who possess an eagerness to be challenged and an ability to work in a high volume environment with unparalleled motivation.

Candidates with pathology knowledge are highly desired.

POSITION SUMMARY:

Performs complete and accurate billing & collections to assure policies, guidelines and protocols are being adhered to while obtaining optimum efficiencies in a cost-effective manner. Establishes priorities and consistently meets required deadlines.

Striving for complete accuracy, obtains maximum reimbursement for all billable services in order to provide optimal customer satisfaction to all clients and patients.

Communicates effectively with patients, physicians’ offices, hospital personnel and all IPMS staff to build and maintain positive business relationships.

Cross-trained to perform all billing and collections functions to assure that team is fully staffed at all times. Works collectively with all members of the team as well as all IPMS employees to ensure production goals are consistently being met.

ESSENTIAL RESPONSIBILITIES:

• Analyzes explanation of benefits (EOB’s) to detect payment discrepancies and payer trends to determine appropriate follow-up, i.e., resubmissions, adjustments and refunds.

• Researches account activity based on analysis reports, denial reports, and correspondence resulting in additional follow- up with patients, insurance carriers and referring physicians, etc. within an outlined timeframe as set forth by management. Properly utilizes internet to research account activity with insurance carriers.

• Communicates effectively with patients, physicians’ offices, hospital personnel and all IPMS staff to build and maintain positive business relationships. Heavy phone volume

• Performs other duties and special projects as assigned.

An individual should demonstrate the following competencies to perform the essential functions of this position:

• Interpersonal skills – maintains confidentiality, remains open to others ideas and exhibits willingness to try new things

• Oral communication – speaks clearly and persuasively in positive or negative situations

• Written communication – edits work for spelling and grammar

• Quality control – demonstrates accuracy and thoroughness and monitors own work to ensure quality

• Adaptability – adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events

• Dependability – consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance

• Safety and security – actively promotes and personally observes safety and security procedures and uses equipment and materials properly

Comfort with software applications including but not limited to Medical Billing Software Applications, EMR software, Microsoft Office, including Excel. Proficient with internet.

• Solid knowledge of managed care, commercial, and Federal/State agencies required. Must be proficient in all areas of billing and collections and must be able to jump into production in order to meet production goals for the team

• Excellent telephone, oral and written communication skills.

• Excellent customer service, presentation, and organizational skills

• Strong analytical skills and the ability to problem solve.

• Ability to maintain a high level of confidentiality.

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

COVID-19 considerations:
We have been COVID Certified in accordance with the requirements set forth by the State of Connecticut. We are taking all necessary precautions to assure that our employees and visitors are safe.

Education:

• High school or equivalent (Preferred)

Experience:

• Medical billing: 3 years (Required)
• Physician Billing: 3 years (Required)

Work Location: One location