Position Purpose:

The Medical Reimbursement Specialist is responsible for all aspects of posting payments and answering calls from patients, insurance companies, and satellite offices regarding billing and insurance questions.

Essential Functions and Responsibilities:

Accurately posts all patient payments, insurance payments, denials, and no pays in a timely manner.
Calculates Estimated Out of Pockets.
Answer calls and work closely with patients, insurance companies, and satellite offices regarding billing and insurance questions.
Participates in departmental activities with team members which include cross-training, process improvement, and professional development.
Inform the patient accounts manager or lead of any changes and updates concerning the collection or payments of accounts.
Other duties as assigned.

This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, duties, skills, or working conditions associated with a particular job. It is intended to be only a general description of the principal requirements common to positions of this type. Employees in this job may perform other duties as assigned.

Minimum Job Requirements (Education, Experience, Skills):

High school diploma or equivalent.
Medical office experience preferred.
Great attention to detail and data entry accuracy.
Ability to handle all interactions in a professional, friendly, and enthusiastic manner.
Excellent and professional customer service skills.
Regular and reliable attendance is required.

Physical Demands:

This position requires incumbent to sit at desk and/or stand for long hours during regularly scheduled work hours. This job may include, but are not limited to sitting, reaching, stooping, crouching, kneeling, climbing, twisting, hearing and repetitive motions. Incumbent must have the ability to lift up to 25 pounds. Travel could be required to satellite offices.

Working Conditions and Environment:

Incumbent works in a temperature controlled medical office environment.

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Gailey Eye Clinic

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Medical Reimbursement Specialist