Reimbursement A/R Representative

Modis is hiring for a Reimbursement A/R Specialist in Durham, NC. In this opportunity , you will be providing top notch customer service skills and will need to have a background in healthcare Insurance reimbursement. The Reimbursement A/R Specialist, will work on claims processing, rebilling and collection efforts to reduce accounts receivables. Will work closely with colleagues to improve billing & collections processes.

*** There is a 90-day training period that will be conducted onsite. After training, will be working remotely on a  weekly rotation. This is a direct hire opening with regular work hours (Monday to Friday, 8am-5pm or 9am-6pm)

 

The Responsibilities of a Reimbursement A/R Specialist in Durham, NC include:

  • Provide direct support to patients and/or customers regarding coverage for company related products including updates on claim status, billing inquiries, coding issues, etc.
  • Answer calls from physician offices, hospitals, and patients using exemplary customer service skills.
  • Verify accuracy of billing data and revise errors.
  • Post all credit and debit adjustments to accounts with adherence to company guidelines
  • File all charge, payment and adjustment batches in the appropriate format per
    departmental guidelines
  • Follow up on all outstanding claims at 30, 60, 90+ days from date of services per department procedures with an emphasis on maximizing patient satisfaction and company profits for both insurance and patient due balances
  • Follow up on all returned claims, denials, correspondence account reconciliations and rebills within 5 business days of receipt of information/request to achieve maximum reimbursement in a timely manner.
  • Perform day to day administrative functions and general office duties related to the reimbursement department
  • Practices confidentiality and privacy protocols in accordance with company policies and HIPAA guidelines
  • MINIMUM KNOWLEDGE, SKILLS and ABILITIES REQUIRED:

    Required Skills:

  • Experience with CPT, HCPCS, ICD coding
  • Coding/Billing software and related reimbursement platforms
  • Strong written and verbal communication skills
  • Positive attitude, self-motivated and collaborative professional team spirit a must!
  • Proficient with Excel, Word, Outlook
  • Position Qualifications:

  •  3-5 years’ experience in a healthcare insurance or reimbursement role with a focus on accounts receivable
  • Experience with claims processing, billing and collections
  •  

    If you are interested in this Reimbursement A/R Specialist job in Durham, NC, then please apply today or please reach out to Tal directly at tal.shavit@modis.com

     

    Equal Opportunity Employer Minorities/Women/Veterans/Disabled

    For other opportunities available at Modis IT & Engineering go to www.modis.com.

     

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit https://www.modis.com/en-us/candidate-privacy/

    The Company will consider qualified applicants with arrest and conviction records



    Equal Opportunity Employer/Veterans/Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.modis.com/en-us/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records
    Company
    Modis
    Posted
    09/11/2021
    Type
    Full time
    Location
    Durham, NC 27703, US