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Medical Billing Reimbursement Specialist

ZOLL Medical Corporation • Las Vegas, NV, United States • $200k - $250k / year • 6d ago

Employer Industry: Healthcare Software Solutions

Why consider this job opportunity:

Opportunity for career advancement and growth within the organization
Supportive and collaborative work environment
Chance to make a positive impact on patient outcomes
Work with innovative technologies that enhance operational efficiencies
Engage in meaningful work that contributes to saving lives

What to Expect (Job Responsibilities):

Research and determine claim denials and take appropriate actions for payment within federal, state, and payor guidelines
Identify consistent payor or system trends that result in underpayments, denials, or errors
Escalate claim issues with payors when appropriate and meet with leadership to discuss reimbursement obstacles
Determine when an appeal, reopening, or redetermination should be requested and take appropriate actions
Respond to written and verbal inquiries from patients regarding their accounts and process charity and payment plans

What is Required (Qualifications):

Minimum of 3 years in the medical reimbursement field
Ability to read and understand Explanation of Benefits (EOBs)
Proficient in MS Excel, MS Word, and PDF formatting
High School Diploma or GED equivalent, with some college-level courses
Ability to type 45 wpm and knowledge of medical terms

How to Stand Out (Preferred Qualifications):

Experience in billing 1500 and UB04 claim forms
Understanding of non-contracted and contracted payer behaviors
Ability to speak confidently to insurance representatives and patients
Experience operating office equipment
Knowledge of HIPAA and multiple state guidelines

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