Reimbursement Services Director jobs in Pennsylvania

Reimbursement Associate (1 Full-time or part-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.

• 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.