Reimbursement Specialist

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POST DATE 8/20/2016
END DATE 11/14/2016

Modis Durham, NC

Durham, NC
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Required Licenses/Certifications


span span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' Reimbursement Specialist Contract-to-Hire Job in Durham NC br Shift Time: 9:00-5:30 br   br We have an exciting job opportunity for a talented and driven Reimbursement Specialist in Durham, NC. This amazing contract-to-hire job opportunity is with one of the Top Notch Medical Device companies in the nation! br   br As a Reimbursement Specialist you will perform tasks to maximize company profitability and foster an efficient, team-oriented work environment for all and review/ensure all necessary patients and customer (clinic) information is received and updated as required to facilitate claims processing and billing. br   br Job Duties Include: br   br • Coordination, processing, & filing of prior authorizations with Medicare, Medicaid, and private payor insurance companies for external parts & accessories with or on behalf of clinics, hospitals, and patients. br • Claims filing and processing with public and private payors, including primary and secondary filings. br • Invoicing/billing with accounting software and claims entry/processing with reimbursement software. br • Assist patients and customers with claims status, billing inquiries, and other reimbursement matters. br • Assist other departments in achieving company goals when dept overloads arise. br • Accept special projects and assignments as business requires. br • Search for ways to streamline procedures and otherwise improve efficiency for the department and the company as a whole. br   br   br Required Skill Sets: br   br • Identify specific computer, audiological, troubleshooting, and other technical skills required for the position br • Ability to multi-task to keep numerous PA’s, claims, and billing transactions progressing forward at the same time toward successful resolution (i..e.. maximum company profit while optimizing patient and customer positions). br • Ability to handle numerous interruptions from patients, customers, and fellow depts. in a courteous, professional, and helpful manner. br • Ability to maintain concentration and attention to intricate details for extended periods while sitting at a desk. br • Ability to sort thru and merge complex and convoluted systems, procedures, and criteria imposed by payors, clinics, and hospitals toward successful resolution (i..e.. maximum company profit while optimizing patient and customer positions). br • Mathematical skills for computing and adjusting dollar amounts for claims, billings, rate approvals, and collections. br • Obtain/maintain current hands-on knowledge of CPT, HCPCS, and ICD-9 Coding systems, electronic claims filing and billing systems, and Microsoft Office programs (Word, Excel). br Maintain current extensive knowledge of Medicare/Medicaid and private payor insurance programs as related to authorization of medical services, eligibility, and insurance billing related to company products. br   br To be considered, you must apply online now and submit your resume or (Email Address Withheld by Request) or call 919-674-2117. We are actively monitoring all applications. Apply below! And, thanks for partnering with Modis! br   br   br   br   br /span br /span