Reimbursement Specialist
Description:
Visiting Nursing Association of Western New York is looking for a motivated individual to join our growing team as a Reimbursement Specialist. The ideal candidate will have a passion for healthcare and a drive to improve the quality of care. This position requires a high level of accuracy and attention to detail. The ideal candidate will have experience with the following medical billing software programs: CME, Xeler, and EMR.
Duties:
- Review claims with patients and providers to ensure all required information is included in each claim
- Review claims prior to posting to ensure all required information is included
- Update claim status tracking software as needed
- Answer patient phone calls and emails
- Perform follow up calls with patients after claims are posted for review by management
- Assist with patient follow up emails and phone calls as needed
- Research insurance coverage for denied claims and submit follow up emails to deny claims
- Complete patient billing requests such as payment of services, deductibles, etc. by reviewing records, faxes, and other documentation for payment approval. Send invoices to providers, vendors, and third party payers. Research third party payers to obtain payments for services rendered. Research insurance companies to obtain payment for services rendered. Research insurance coverage for denied claims and submit follow up emails to deny claims. Complete patient billing requests including payment of deductibles, deductibles, etc. by researching insurance companies that accept payments through third party payers such as Medicare, Medicaid, etc. Send invoices to vendors and providers. Research third party payers such as Medicare, Medicaid, etc. for coverage of services rendered. Send invoices to providers and carriers. Research third party payers such as Medicare, Medicaid, etc. for coverage of services rendered. Complete patient billing requests including payment of deductibles, deductibles, etc. by researching insurance companies that accept payments through third party payers such as Medicare, Medicaid, etc. Send invoices to vendors and carriers. Research third party payers such as Medicare, Medicaid, etc. for coverage of services rendered. Complete patient billing requests including payments of deductible expenses and other charges incurred in the process of collecting payments from providers or providers' insurers that are not paid by Visiting Nursing Association of Western New York but are paid by Visiting Nursing Association of Western New York because they are in the business of serving the public who pays their bills! Send invoices to carriers or providers using our QuickPay system (QuickPay is an internal company program).
This position is full time Monday-Friday 9am-5pm or 10am-6pm (flexible). The company offers great benefits including medical (insurance only), dental (premium), vision (premium), 401k (matching), life insurance (company match), short term disability (company match), long term disability (company match), AND more!
Job Types: Full-time, Temporary
Pay: $18.63 - $27.75 per hour
Benefits:
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- Weekends as needed
People with a criminal record are encouraged to apply
Experience:
- ICD-10: 1 year (Preferred)
Ability to Relocate:
- Buffalo, NY 14225: Relocate before starting work (Required)
Work Location: In person