Medical Claims Reimbursement Specialist (FT)
Full Time
Richardson, TX 75081
Posted
Job description
Medical Claims Reimbursement Specialist:
We provide medically fragile children with their much-needed life-sustaining medical equipment and supplies. Our focus is on keeping our patients healthy at home and out of the hospital. We service the entire state of Texas through many branch offices. Current openings are at our corporate location in Richardson.
We provide medically fragile children with their much-needed life-sustaining medical equipment and supplies. Our focus is on keeping our patients healthy at home and out of the hospital. We service the entire state of Texas through many branch offices. Current openings are at our corporate location in Richardson.
Qualified candidates should have a working knowledge of the following:
- Ability to interpret an Explanation of Benefits and basic denial codes.
- Ability to correctly identify the cause of the denial and respond accordingly.
- Basic knowledge of Medicaid, Medicare, MCO, and Commercial Insurance claims filing requirements.
- Organizational and computer skills are necessary.
- Proficiency with Microsoft Office Suite is a plus.
- Possess analytical skills, focus, and attention to detail.
- Comfortable with performance metrics and meeting team goals as well as individual ones.
- Experience with Brightree software, DME, or pediatrics is considered a plus, but not necessary.
Our company specializes in providing services to medically fragile pediatric patients being cared for at home throughout the state of Texas. Current openings are available at our headquarters conveniently located in Richardson, TX near Hwy 75. As an established industry leader with 25 years of expansion and growth, we are needing to add multiple members to our teams of knowledgeable Medical Claims Reimbursement Specialists. We are looking for persons with experience in interpreting Explanation of Benefits (EOBs), determining underpayments, filing reconsiderations and appeals with various government and commercial payers, along with other claim-related duties. Bring your enthusiasm, and energy to join us in our comfortable and friendly work environment. We provide multiple opportunities for career growth and advancement within our organization of 100+ employees. A mix of office and remote work is available for individuals meeting performance and quality standards. Business casual dress code. Hours are M-F 8:30 a.m. to 5:00 p.m. We offer employment stability, growth and advancement opportunities, competitive wages, 401K, and numerous insurance benefits. Background check and drug screen required.
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