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Reimbursement Specialist
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- Achieves maximum revenue collectionsfrom insurances and patients through timely entry, filing and follow-up;maintains thorough and accurate transaction and correspondence on patientaccounts; provides insurance claims education to patients; posts payments &adjustments; reconciles batches and accounts
- Understandshealth insurance guidelines, esp Medicare, Medicaid, HMOs, PPOs
- Understandshow to post a remittance advice or explanation of benefits, electronically ormanually.
- Ensuresaccounts assigned are managed timely for outstanding insurance, denials, filedrejected, appeals for payment within 30 days
- Obtainsand/or reviews current & accurate demographic and insurance data relativeto dates of service, including insurance cards into patient registration system.
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