Reimbursement Representative - West Plano
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POST DATE 9/15/2016
END DATE 10/24/2016
JOB DESCRIPTIONWe are in need for a Reimbursement Representative in Plano, TX.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
' Reviews EOB/EOMB's for proper reimbursement.
' Responsible for all collection activities on identified accounts.
' Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
' Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
' Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
' Regularly contacts Medicare, Medicaid and /or Commercial payers for resolution to claims not paid or claims not paid according to plan benefits.
' Performs claim appeals as required.
' Assists with credit balance resolution.
' Completes re-bill request as necessary to facilitate timely and proper claims payment.
' Follows up on unresolved account balances including RTP's.
' Prepares adjustment and write-off requests as necessary.
EDUCATION and/or EXPERIENCE:
o High School diploma or GED required.
o Minimum of 4-5 years experience in health/medical billing and collections.
Please apply immediately! We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.