What are the responsibilities and job description for the Reimbursement Specialist position at Partners Professional?
Reimbursement Associate (1 Full-time position)
Fast growing and employee friendly company, with an exciting opportunity for a Reimbursement Associate in our Langhorne location.
We are seeking a candidate who wants to work in a friendly and safe office environment.
The main duty of this position is to submit and resolve health insurance claims to multiple payers.
Essential Duties:
• Prepare documentation
• Process patient information efficiently
• Review diagnosis, procedure codes, and charges for accuracy
• Request and obtain additional patient information and assignment when needed
• Verify patient insurance eligibility for services
• Check system for possible overlapping claims
• Ensure accurate insurance information is recorded
• Update insurance information in the proper system
• Process and submit claims timely and appropriately
• Send all necessary information and documents to payer
• Follow-up on claims daily
• Ensure claims are adjudicated within14 business days
• Work electronic error/reject reports daily
• Complete weekly explanation of Aged A/R
• Perform other duties as needed to assist in the functioning of the department
Skills & Qualifications:
• Works independently.
• Uses good judgment
• Makes sound decisions
• Communicates professionally
• Works well in a fast-paced environment
• Records information correctly and quickly
• Excellent phone and computer skills
• Handles sensitive information in confidence
• Meets deadlines and prioritizes
• Proficient in Microsoft Outlook, Word, Excel
• Organized and detail-oriented
Requirements:
• High school diploma or GED required.
• Two years of college or equivalent work experience preferred.
• Two years of recent healthcare accounts receivable responsibility
• Thorough knowledge of all private insurance rules and regulations as it relates to claims submission.
We offer great pay to work in great place. If you are someone looking to use your talents to help patients meet their needs, then we want to hear from you.
This is a drug-free workplace and all job offers will be contingent on passing a drug screen and a favorable pre-employment background check.
