Billing Reimbursement Specialist
Claims Processing SpecialistEnsure timely submission of electronic and paper claims to insurance companies
Correct billing submission errors, claim edits and other billing work queues
Responsible for unbillable, patient demographic updates, payer rebills and other error reports
Provide patient balance estimates, collect patient payments and verify insurance coverage and benefits for all payers, including Medicare, Medicaid, and commercial insurances
Answer and respond to telephone, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers
Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments
Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance information
Request medical records and other patient information, when appropriate
Provide management team with immediate feedback on issues affecting workflow, reimbursement, and customer service
Identify insurance contract opportunities/requirements and communicates to the Payor Relations department
Adhere to appropriate quality control, confidentiality, and HIPAA guidelines
Attend staff meetings and report on monthly performance and activities
Supply excellent customer service, whether to inside stakeholders or external customers/contacts
Bachelor's degree, preferred
3 + years in customer service, insurance verification and insurance billing, required
Previous experience with medical claims processing, insurance verification, medical records and insurance terminology
Competency with Windows PC Applications, including strong Microsoft Word and Microsoft Excel skills
Strong keyboard and navigation skills and ability to learn new computer skills & applications
Ability to handle multiple tasks and accurately process high volumes of work, while prioritizing work and managing time effectively to meet deadlines
Capable of making decisions and solving problems using established departmental standard operating procedures and guidelines with limited supervision
Demonstrated effective and appropriate communication styles and interpersonal skills that promote positive and professional working relationships with peers and management team
Ability to assist with and adapt to departmental and / or company procedural changes
As this is a hybrid position, must be able to commute to headquarters in Mount Laurel, NJ
Able to work a 40-hour schedule within the operating hours of the department, 8 AM to 9:30 AM start time and ending 5:00 PM to 6:30 PM
It may be necessary, based on business and departmental need, to work occasional overtime and/or weekends
Telecommute work possible, subject to business environmental conditions
Competitive salary and bonus structure
Health, dental and vision insurance as well as other ancillary benefits
Retirement savings plan 401(k) with company match
Paid time off (PTO) and holidays
Professional development and training opportunities
Employee wellness programs
RMX Monitoring, LLC. is an equal opportunity employer who openly supports and fully commits to recruitment, selection, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, and/or local laws. Inclusion and diversity amongst our teams is essential to our success.