Billing & Reimbursement Specialist
: Job Details :

Billing & Reimbursement Specialist - Revenue Cycle

This is a remote position.

Overview:

The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates, documents, and communicates with health insurance representatives regarding proper insurance payments in accordance with policies and procedures and current federal, state, and local standards, guidelines, and regulations.

Essential Functions:

• Billing and Collections: Oversee accurate billing and revenue collection for assigned financial classes, ensuring compliance and precision.
• Claims Management: Obtain and monitor claim status via phone and online portals; prepare and track appeals as needed.
• Insurance and Patient Interaction: Communicate professionally with insurance carriers and patients regarding billing, claims, and payments.
• Adjustments and Allocations: Accurately allocate coinsurance and deductibles and process necessary claim adjustments.
• Mail and Correspondence Management: Review and address all incoming mail and correspondence promptly.
• Collaboration and Reporting: Work effectively with internal departments, maintain regular facility reports, and ensure issues are promptly identified and addressed.
• Adaptability and Growth: Stay flexible to evolving processes and demonstrate a commitment to learning new skills.
• Compliance and Confidentiality: Maintain HIPAA compliance and uphold strict confidentiality with all patient information.

Education and Experience:

• Bachelor's degree in business, healthcare management, or related is strongly preferred.
• 0-2 years of experience as a Billing and Reimbursement Specialist or equivalent work experience in insurance collections.
• Experience in dialysis and/or healthcare is preferred.
• Proficiency in Microsoft Office Suite with strong Excel skills preferred.
• Excellent communication skills and customer service skills with the demonstrated ability to actively contribute as a team player.
• Exceptional attention to detail, with the ability to maintain accuracy while working in a fast-paced environment.
• Ability to manage multiple tasks effectively and remain flexible with changing priorities.

Why choose Innovative Renal Care?

Innovative Renal Care (IRC) provides high-quality care to patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions. Together, we are one of the largest dialysis service providers in the United States. We partner with local physicians, enabling them to provide exceptional dialysis care to patients.

Our team lives by our values of Integrity, Innovation, Compassion, Accountability, Results Driven and Everyone Counts!

• Innovation & Integrity - Deliver on our promises with dedication and clarity. Engage and empower others by sharing ideas and successes.
• Compassion - Treat patients and their families with the utmost respect and empathy.
• Accountability - Take ownership when resolving issues and solving problems, trusting others to support us.
• Results Driven - Keep raising the bar for our own performance, helping, and encouraging our colleagues to do the same.
• Everyone Counts - Respect people of all backgrounds. Strive to create a diverse and equitable workplace.

Equal Opportunity Employer:Innovative Renal Care is an equal opportunity employer and a drug free workplace. All qualified We applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)