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Posted: Friday, April 14, 2017 2:24 PM

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HCR Home Care is looking for a full time Billing Reimbursement Specialist.

Responsibilities include but are not limited to:

Working with the Authorization Team to assure services have been approved by the insurance company
Basic knowledge of CPT Coding and Commercial Insurance reimbursement codes, payment structures including fee for service and prospective payment systems.
Preparing pre billing reports, reconciling and processing claims for billing
Submitting both electronic and paper claims
Handling patient’s inquiries about billing issues
Sending Intro Letters to patients to explain co-pays & non coverage responsibilities & to inform them of who's handling their account
Actively pursuing open accounts receivable
Filing grievances and appeals as needed
Producing timely and accurate invoices
Working closely with other billing staff when accounts have split payers
Interacting with clinicians when there are issues with commercial insurance accounts.
Applying remittance payments and adjustments
Closing billing cycles within the required timeframes
Knowledge of New York State Medicaid and/or Medicare helpful but not required
Required Skills:
Strong interpersonal and communication skills- especially in dealing with patients and insurance company representatives
Strong problem solving skills
Ability to work with customers, coworkers and Management in a positive, compassionate and friendly manner
Detail oriented
Ability to complete work timely and accurately
Ability to work independently
Excellent computer skills; Proficiency in Word, Excel and billing software
Prioritize duties so that Management and Insurance guidelines are met consistently
Bill insurance within file limit
Meet and track productivity goals
Strong multitasking and organizational skills
Adheres at all times to HIPAA and company compliance guidelines

Interested applicants can apply at www.hcrhealth.com

• Location: Rochester, Rochester, NY

• Post ID: 24189914 rochester
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