Lead Reimbursement Specialist
Job Description
Job Summary:
The Lead Reimbursement Specialist plays a pivotal role in promoting department efficiency and improving billing processes. You will be responsible for training billing specialists, resolving reimbursement and posting errors, and handling communication with staff, payers, and patients. Your expertise in healthcare billing and coding, along with your dedication to customer service, will contribute to our mission of providing outstanding healthcare services.
Primary Duties and Responsibilities:
- Create, implement, and train on improved billing processes to increase reimbursement.
- Ensure complete and correct billing by obtaining missing or incorrect data for expedited payment.
- Document all billing activities and track errors to ensure quality claims submission.
- Post insurance and patient payments accurately.
- Correct payment and adjustment posting errors.
- Work on claims projects for payers and assist other billing specialists.
Knowledge, Skills & Abilities (KSA s):
- High School diploma or equivalent required; completion of Medical Insurance Billing and Coding course preferred.
- 5+ years of revenue cycle billing experience.
- Minimum 2 years of Resolute Professional billing EPIC experience.
- 3-5 years of experience in creating, implementing, and training on billing processes.
- 5+ years of experience working with various insurance payers and plans (private/commercial/marketplace/Medicaid/Medicare).
- Working knowledge of CPT and ICD-10 billing codes.
- Proficiency in spreadsheets and word processing.
- Strong organizational and analytical skills.
- Attention to detail and accuracy.
- Excellent written and oral communication skills with the ability to meet deadlines.
- Ability to work collaboratively and independently while demonstrating sensitivity to patients, clients, staff, and volunteers.
If you are passionate about healthcare billing, committed to excellence, and dedicated to making a positive impact on reproductive rights, we encourage you to apply for this rewarding opportunity.