Reimbursement Specialist - up to $21 per hour-Commercial Medical Exp.

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POST DATE 9/12/2016
END DATE 10/24/2016

AppleOne Plano, TX

Job Classification
Full Time
Company Ref #
Required Licenses/Certifications
Plano, TX
Job Type
AJE Ref #


Immediate opportunity for an Reimbursement Specialist!

Position pays between $20-$21 per hour. Immediate Contract!!!!

Must have the below experience:
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 payors 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.
Performs other duties and responsibilities as required or assigned.
Monitors all contracts and single patient agreements to ensure that appropriate reimbursement is received.

High School diploma or GED required.
Minimum of 4-5 year?s experience in health/medical billing and collections.

Send your resume immediately in a word document!

We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Job Experience:

Commercial Medical Exp.