Reimbursement ConsultantPassport Health Communications
THIS JOB HAS EXPIRED
Benefits:Full Comprehensive Benefits Package
Employment Type:Full Time
Description:Passport Health Communications, Inc., a nationally recognized pioneer developing innovative solutions for the healthcare industry and one of Healthcare Informatics Top 100 Healthcare Companies, is seeking a Reimbursement Consultant.
The Reimbursement Consultant reviews claims to ensure payer specific billing requirements are met, performs statusing of claims and corrects/resubmits claims for payment, performs account resolution and answers inquiries.
The Reimbursement Consultant analyzes claims and payments to maximize reimbursement.
The Reimbursement Consultant researches issues to minimize claim submission time and improve client processes.
Duties:?Process and review primary and secondary claims by payer
?Status claims and work suspended, rejected or denied claims. Trend errors/issues and discuss with management
?Perform account resolution from the client ATB. Provide feedback to client on process improvement opportunities based on the account review
?Document and communicate to the client on any current or upcoming changes in payer claims processing
?Research unusual rejections/denials/billing situations and communicate the findings with the client
?Run Error Reports in eCare CMS daily after import and correct claims based on payer compliance and specifications
?Review claims and payments to ensure that reimbursement is maximized for the client
?Maintain payer knowledge base and assist in training new staff as well as clients
?Comply with HIPAA guidelines
Other Duties as Required.
Qualifications:?1-3 years accounting, hospital billing, and/or business office experience
?Bachelor?s degree in Accounting, Business Administration, or related field preferred
Equivalent combination of education and experience may be considered
?Knowledge and understanding of coding and payer regulations, billing forms, billing systems in a high volume environment
?Familiar with resources such as CPT/HCPCS, ICD 9, UB Editor, Medical Terminology