Reimbursement Specialist

• Handle all patient billing and collections
• Collect third-party payor accounts for assigned payers
• Follow up on revenue-cycle reimbursement matters, including projects, issue escalation, denials management and research
• Maintain and update shared documentation on insurance policies, rules and limitations
• Identify adjustments, payment trends and denials and escalate problems as necessary
• Communicate changes regularly or as needed
• Collaborate with Intake and Reauthorization Specialists to ensure timely collections
• Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
• Field and troubleshoot patient calls regarding benefits, claims and balances
• Proactively resolve billing issues
• Perform CPR+/Caretend transactions accurately and timely
• Document and input new referrals and subsequent patient admissions from start to finish according to PromptCare policies and procedures
• Perform other duties as assigned

• Handle all patient billing and collections
• Complete documentation and computer input for new referrals and subsequent patient admissions from start to finish
• Collect third-party payor accounts for assigned payers
• Follow up on revenue cycle reimbursement activities, including projects, issue escalation, denials management, and research
• Maintain and update shared documentation for the Intake Team regarding insurance policies, rules, and limitations
• Identify adjustments, payment trends, and denials and escalate problems as necessary
• Communicate changes regularly or as needed
• Collaborate with Intake and Reauthorization Specialists to ensure timely collections
• Assist the PBM and Billing Specialist with issues, billing backlogs, and end-of-month processes
• Handle and troubleshoot patient calls regarding benefits, claims, and patient balances
• Proactively resolve billing issues
• Perform CPR+/Caretend transactions accurately and timely
• Perform other duties as assigned