Medical Reimbursement Specialist

• Submit medical claims to appropriate payer.
• Ensure resubmission of claims, when applicable, are accurate.
• Ensure reimbursement of claims by submitted the most appropriate coding for services performed.
• ICD diagnosis coding, modifier application and verification of CPT and/or HCPCS codes.
• Responsible for ensuring all claims processed through Emdeon (Change Healthcare) are correct and compliant.
• Responsible for performing payer enrollment follow up·
• Keeps abreast of and comply with coding guidelines and reimbursement reporting requirements.
• Daily review and follow up on all incomplete electronic provider-billing encounters.
• Identify issues, correct code and/or pend due to missing information.
• Keep up to dateon medical insurance rules and proper filing guideline.
• Answer patient calls/questions, clinic staff calls, and insurance company calls.
• Maintain a professional relationship with insurance companies and patients.
• Other duties as assigned.

• Minimum 1 year of experience of medical ICD & CPT coding experience preferred.
• Electronic Medical Record experience, Emdeon (Change Healthcare) software highly preferred.
• Certified Pharmacy Tech a plus
• Proficient with Microsoft Office Suite.
• Excellent verbal and written communication skills.
• Excellent organizational and time management skills.
• Analytical, problem solving, and critical thinking skills.
• Ability to organize, coordinate, prioritize, and facilitate on-going tasks.
• Ability to work independently and with a team.

• High School Diploma or equivalent required.
• Medical Billing/Coder Certification from accredited entity a plus.

Requires sitting, standing, and occasional light lifting.

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive
  
  Health Benefits:
  
  Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
• Time to Recharge: Paid vacation and holiday pay.
• Focus on Your Wellness: We offer a robust Employee Wellness Program.
• Invest in Your Future: 401(k) with a company match.
• Support System: Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People: Employee referral program.

Pro Care Rx is an Equal Opportunity Employer.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.