Reimbursement Coordinator
Fully Remote
Remote
Full time
JR2497
The Reimbursement Coordinator is responsible for providing oversight to a team of reimbursement resources. The scope of this job includes organizing team tasks and schedules, as well as timely completion of the month-end process for assigned accounts.
This is on our Skilled Nursing Facilities team. We invite you to apply today and join us in shaping the future of healthcare!
Key Responsibilities
Obtain billing information from clients to generate claims, perform QA of charges, and make modifications or changes as required to produce a clean claim.
Submit claims to insurance companies within the individual insurance company's timely filing period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primary payer, and track pending claims.
Utilize reports to determine tasks that require follow up and obtain claim's status by calling the payer and/or using an online claims status system.
Research claim payments, partial payments and over-payments, and take appropriate action for escalating claims not paid within 60 days or for denied appeals.
Perform collection follow up actions on primary and secondary claims as well as patient balances as assigned.
Prepare write-off forms when bad debt is identified and document description of the reason for each write-off.
Perform other job duties as assigned.
. Required qualifications
GED or High School Diploma
At least 1-2 years of relevant work experience
Skilled Nursing Facilities claim experience.
Job Expectations
Willing to work additional or irregular hours as needed
Must work in accordance with applicable security policies and procedures to safeguard company and client information
Must be able to sit and view a computer screen for extended periods of time
LI-Remote
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:
Excellent medical, dental, and vision benefits
Mental health benefits through TelaDoc
Prescription drug coverage
Generous paid time off, plus 13 paid holidays
Paid parental leave
100% vested 401(K) retirement plans
Educational assistance up to $2500 per year
