Reimbursement Specialist

Job Location:

Lapeer, MI 48446, Position Type:
Full Time, Education Level: High School, Salary Range: $19.78 - $28.23 Hourly, General

Summary:

The Reimbursement Specialist performs a variety of accounting-related functions related to reimbursement, and billing.

Position reports to:
Accounting/Billing Supervisor

• Posts third party and other billing payments received.
• Follows up and resubmits rejected and pended third party billings.
• Assists in completion of provider enrollment forms for public and private insurances.
• Assist in obtaining prior authorizations.
• Gathers initial demographic and financial information to conduct ability to pay (ATP) determinations.
• Provides and reviews annual ability to pay redeterminations.
• Assist in generating payment plans for delinquent accounts.
• Generate reports for staff or providers as needed.
• Participates in agency committees as directed.

• Entry and maintenance of direct run locations.
• Maintain and update rate schedules as needed in EMR.
• Provide support to Accounts Payable, Claim Adjudication, and CCBHC Specialists as necessary.
• Other duties as assigned in a positive, cooperative manner

Lapeer County Community Mental Health embraces an employment environment that promotes recovery and discovery, a person-centered approach to treatment/services, and cultural competence. An employee with this or any position is expected to support the employment environment.

Employment Qualifications

Education:

High school graduation or equivalent. Advanced course work in accounting or computer skills preferred.

Experience:

• One year experience working in a related environment.
• Knowledge and experience in Microsoft environment (Word, Excel, Outlook, Access)
• Prefer experience and training in billing or accounting related services.