Reimbursement Specialist

Job not on LinkedIn

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $20 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Obtain and maintain physician orders, authorizations, Certificates of Medical Necessity (CMN), and other supporting documents for reimbursement • Attend in-service education and training on policies, procedures, and work-related materials such as Medicare Additional Documentation Requests • Act as an internal resource for qualifying criteria, payment limitations, and required documentation • Assist patient financial services with accurate patient account charges • Verify documentation, examine and track orders, and ensure proper billing • Verify payment balances and receipts and complete End of Day reports • Schedule and maintain CMNs and physician orders for timely delivery • Enter completed orders into the billing system for reimbursement • Research and respond to overdue or delinquent accounts by mail or phone • Research customer accounts and document appropriately • Process adjustments when services are non-covered or denied • Make final independent decisions regarding the accuracy of home medical equipment documentation • Work as a member of the Home Medical Equipment team to ensure timely and accurate reimbursement

🎯 Requirements

• High school diploma/GED or equivalent working knowledge • 2-3 years of experience in patient accounts, pharmacy or equipment intake • Thorough understanding of regulatory and accreditation requirements of medical equipment and infusion medications for government and third party agencies • Effective interpersonal skills and ability to provide effective customer service • Demonstrated organizational and problem solving skills • Ability to keep detailed records regarding equipment and medical records • Ability to communicate effectively • Ability to prioritize and organize daily work • Demonstrated ability to use and develop proficiency with computers and office software • 1-2 years of experience in clerical, customer relations and/or customer service departments preferred • Additional related education and/or experience preferred