Talent.com
Reimbursement Specialist
Reimbursement SpecialistBMR Partners Inc • Orange, CA, United States
[error_messages.no_longer_accepting]
Reimbursement Specialist

Reimbursement Specialist

BMR Partners Inc • Orange, CA, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Type

Full-time

Description

The Reimbursement Specialist is responsible for assisting the Reimbursement Supervisor in all areas of Collection and Billing.

Please be aware that this position requires full-time, in-office work.

Duties and Responsibilities

  • Follows appropriate payer requirements, policies and procedures when billing for products, care and services.
  • Will always maintain the confidentiality of patients/customers and their personal information.
  • Responsible for timely and accurate claim submission to all payers.
  • Performs billing, collection, scanning, filing and audit functions as needed.
  • Ensure timely follow-up of assigned accounts and escalate issues to Supervisor/Director as needed.
  • Notifies the appropriate person/department when missing data or documentation is not able to be obtained and is delaying the billing function.
  • Monitors account receivable balances in CPR+ ensure AR is accurately notated and follow up date scheduled.
  • Answer phone lines in a timely manner, responding appropriately to questions and information received.
  • Handles faxes as appropriate and as applicable.
  • Backup as needed for Patient Services.
  • Participate in surveys conducted by authorized inspection agencies.
  • Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
  • Participate in pharmacy committees when requested.
  • Participate in in-service education programs provided by the pharmacy.
  • Report any misconduct, suspicious or unethical activities to the Compliance Officer.
  • Respond to payer pre and post payments audits timely. Work closely with Compliance to ensure proper information is sent.
  • Perform other duties as assigned by Supervisor.
Schedule
  • Monday through Friday 8:30 am to 5:00 pm
Requirements
  • Minimum two years' experience in the Reimbursement field.
  • Minimum two years' experiences in Collections, required.
  • Knowledge of the terms and understanding associated with day-to-day functions of a reimbursement specialist.
  • Must be able to multi-task, prioritize and be detail oriented.
  • Must be able to work independently and be willing to assist in other areas of the department as needed.
  • Knowledge of insurance and specialized functions of billing and reimbursement, required.
  • Must possess excellent oral and written communication skills, with the ability to express technical issues in "layman" terms.
  • Fluency in a second language is a plus.
  • Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
  • Organizational skills sufficient to maintain consistently accurate records.
  • Open to possible overtime due to department demands.
Education and Experience Requirements
  • High School Diploma or Graduation Equivalent Diploma (G.E.D)
  • Prior experience in a pharmacy or home health company.


Physical Requirements

Employees in this role must meet certain physical demands to perform the essential functions effectively. Reasonable accommodations will be provided for individuals with disabilities to ensure they can perform these functions. This position involves frequent sitting and requires the ability to communicate effectively through talking and listening. Occasionally, the role requires standing, walking, and using hands to operate objects, tools, or controls. The employee may also need to reach with arms and engage in physical activities such as bending, kneeling, or crouching. Regularly, the employee must lift and move items weighing up to 20 pounds, with occasional lifting of items up to 50 pounds. Visual requirements include the ability to focus, as well as maintain peripheral vision and depth perception.

EEO Statement

We are committed to fostering a diverse and inclusive workplace. As an Equal Employment Opportunity (EEO) employer, we ensure that all employment decisions are based on merit, qualifications, and business needs. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status. We provide a work environment free from discrimination and harassment, and we celebrate diversity by creating an inclusive environment for all employees.

Salary Description

$26.00 to $30.00 per hour
[job_alerts.create_a_job]

Reimbursement Specialist • Orange, CA, United States

[internal_linking.similar_jobs]

Recruitment Specialist II

CenExelAnaheim, CA, United States
[job_card.full_time]

Ste 140 Anaheim, CA 92801, USA.Each of CenExel's research sites specialize in Phase I to Phase IV clinical trials.Our Centers of Excellence comprise some of the most well respected and long-standin...[internal_linking.show_more]

 • [job_card.promoted]

Healthcare Provider Compensation Manager

Cornerstone Staffing Solutions, Inc.Anaheim, CA, United States
[job_card.full_time]

Full-Time | Competitive Salary | Strategic Leadership Opportunity in Healthcare.Cornerstone Staffing Solutions.This opportunity is ideal for someone with a strong background in.If you enjoy combini...[internal_linking.show_more]

 • [job_card.promoted]

Insurance Claims Specialist

ACCO Engineered SystemsPasadena, CA, United States
[job_card.full_time]

We are seeking a detail-oriented and organized Claims Specialist to join our team.The Claims Specialist will play a crucial role in managing various types of insurance claims, ensuring accuracy, ef...[internal_linking.show_more]

 • [job_card.promoted]

Mortgage Insurance Specialist(Fully Remote)

Nesco ResourceHuntington Beach, CA, United States
[filters.remote]
[job_card.full_time]

Job TitleMust have some type the following industry experience :Loan Servicing, Commercial Insurance, Real Estate.Looking for people capable of complex analyses and assessment of situations, as it ...[internal_linking.show_more]

 • [job_card.promoted]

Claims Specialist

99 Ranch MarketBuena Park, California, United States
[job_card.full_time]
[filters_job_card.quick_apply]

The Claims Specialist is responsible for administering workers’ compensation claims to ensure timely reporting, proper documentation, and compliance with applicable regulations.This role supports c...[internal_linking.show_more]

AVP, Credit Strategy Implementation

Synchrony FinancialCOSTA MESA, California, United States
[job_card.full_time]

The AVP, Credit AMTF Strategy Implementation role is responsible for leading and implementing the Authorization and Real-Time Credit Line Increase requests, Digital Initiatives and build, test, sup...[internal_linking.show_more]

 • [job_card.promoted]

Remote Healthcare Compliance & Audit Specialist

Astrana Health, Inc.Orange, California, United States
[filters.remote]
[job_card.full_time]

A healthcare organization is seeking a Compliance Specialist to manage audits and ensure compliance with regulatory standards.This role involves researching policies, coordinating audits, and devel...[internal_linking.show_more]

 • [job_card.promoted]

Patient Registration Specialist - Per Diem

MemorialCareFountain Valley, California, United States
[job_card.full_time]

A nonprofit health system in Fountain Valley is seeking a Registration Representative to manage patient registrations, verify insurance information, and provide excellent customer service.The ideal...[internal_linking.show_more]

 • [job_card.promoted]

Sr. HR Systems Specialist (Temporary, Benefitted) (Remote - CA)

ChocOrange, CA, United States
[filters.remote]
[job_card.full_time] +1

At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care.We are responsible for the overall health of our community's pediatric population ...[internal_linking.show_more]

 • [job_card.promoted]

Compliance Specialist

Astrana HealthOrange, CA, United States
[job_card.full_time]

We are currently seeking a highly motivated Compliance Specialist.This role will report to the Compliance Manager who supports the Compliance Manager to enable us to continue to scale in the health...[internal_linking.show_more]

 • [job_card.promoted]

Claims Specialist

Diversity Career HubOrange, CA, United States
[job_card.full_time]

Essential Duties and Responsibilities:.Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Te...[internal_linking.show_more]

 • [job_card.promoted]

Claims Specialist

Diversity Caree HubOrange, California, United States
[job_card.full_time]
[filters_job_card.quick_apply]

Essential Duties and Responsibilities:.Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Te...[internal_linking.show_more]

Claims Compliance Analyst

Pacer StaffingWhittier, CA, United States
[job_card.full_time]

Job Title: Claims Compliance Analyst.Profession: Non-Clinical - Finance/Accounting.Shift: Day 5x8-Hour (07:00 - 15:30).Job Duration: 13 weeks (3 months per overview).Location: 9557 Greenleaf Ave, W...[internal_linking.show_more]

 • [job_card.promoted]

Standardized Patient (SP)

InsideHigherEdOrange, California, United States
[job_card.full_time] +2

Fair Labor Standard Act Classification:.Chapman University is required to provide a reasonable estimate of the compensation range for this position.This range takes into account a variety of factor...[internal_linking.show_more]

 • [job_card.promoted]

PAL Clinical Specialist - Pharmacy Administration - FT Variable Shift

University of California - Irvine HealthOrange, California, United States
[job_card.full_time]

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus, UCI ...[internal_linking.show_more]

 • [job_card.promoted]

Patient Scheduling Specialist II - Remote

Pacific Cardiovascular AssociatesCosta Mesa, CA, United States
[filters.remote]
[job_card.full_time]

Job Summary :The Patient Scheduling Specialist II builds on foundational scheduling skills and handles more complex patient interactions.This role is responsible for coordinating multi-provider sch...[internal_linking.show_more]

 • [job_card.promoted]

Infection Prevention and Control Technical Specialist - Remote

TradeJobsWorkForce92708 Fountain Valley, CA, US
[filters.remote]
[job_card.full_time]

Infection Prevention and Control Technical Specialst Job Duties: Consolidate, review and revise Americares existing technical materials related to disease outbreaks, infection prevention and contro...[internal_linking.show_more]

 • [job_card.promoted]

Claims Specialist

HR Recruiting ServicesOrange, CA, United States
[job_card.full_time]

The Senior Claims Specialist plays a critical role in the effective management of complex medical malpractice claims within the Orange County office.This position requires a high level of technical...[internal_linking.show_more]