Alliance HealthCare Services

Medical Reimbursement Specialist

US-AL-Muscle Shoals
ID
2017-9470
Category
Healthcare - Oncology
Position Type
full-time

Job Responsibilities

 

At Alliance Oncology, our team members focus on transforming the patient experience and delivering exceptional quality care. Our commitment to patient care and excellence are reasons Alliance Oncology is a national leader in radiation oncology. It’s also the reason why Alliance is the partner of choice for hospitals, physicians, and other healthcare providers to whom we offer the latest oncology technologies and care.

 

The Medical Reimbursement Specialist is responsible for the timely and accurate posting of EOB and other forms received through the lockbox to the Medical Billing system.  Completes spreadsheets and balances work on a daily basis and resolves credit balances on the Medical Billing system via refund, takeback request or adjustment.   

 

Specific duties include, but are not limited to:

  • Posts payments, adjustments, denials received through the lockbox daily with high accuracy.
  • Analyzes and resolves credit balances on Medical billing system. Prepares and processes refund requests and take-back requests.
  • Balances posting activity from Medical billing system, lockbox data and spreadsheets on a daily basis.
  • Calls the insurance carriers or uses the web to find out the status of the claim using the agings, ticklers and touch point reports as a guide. Researches EOB's that come in the mail with denials on them. Completes a spreadsheet weekly with any adjustments that need to be done and passed to Management. If there are credit balances all the EOB's have to be pulled and a check request form is given to Management for approval before a check is cut.
  • Accurately logs and posts Adjustment Requests and Price Discount Forms. Processes, logs and posts telephone credit card payments. 

*LI-JR1

Position Requirements

  • High School Diploma or General Education Degree (GED) required.
  • The Medical Reimbursement Specialist must be able to read and understand an Explanation of Benefits, use Excel or other spreadsheet programs and understand basic statistical/mathematical computations.

A division of Alliance HealthCare Services (NASDAQ: AIQ), we are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

 

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