Reimbursement Specialist - Healthcare jobs in Delaware

POSITION SUMMARY:

To perform this job successfully, and individual must be able to perform the essential functions of this position satisfactorily but are not necessarily limited to the following:

• Research claims denials and completes adjustments accurately and timely.
• Verifies that payments received are correct.
• Follows up on reimbursement and appeals in an efficient timely manner.
• Efficiently utilizes all functions of the company’s software applications, including maintaining accurate and detailed charts and notes.
• Clearly, accurately, and concisely document notes in medical software system per company guidelines.
• Effectively identify and communicate to supervisor when assistance is needed (including, but not limited to, system function, and training).
• Observes legal and ethical guidelines of HIPPA for safeguarding patient and company confidential and proprietary information.
• Consistently provides exceptional customer service for, and effectively communicates with, clients patients, payers, and coworkers.
• Exhibits a positive, courteous, respectful, and helpful attitude to clients, co-workers, and management team.
• Understands and achieves team and individual goals as determined by supervisors.

QUALIFICATIONS:

• High school diploma or GED
• Previous experience soliciting reimbursement commercial and private insurance payors.
• Specialty pharmacy, infusion, or home infusion domain experience preferred.
• Experience with CPR or similar infusion software preferred but not required.

Job Type: Full-time

Pay: $50,000.00 - $60,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Hybrid work
• JCAHO accredited facility
• Medical office

Work Location: Hybrid remote in New Castle, DE 19720