Partners Personnel
Reimbursement Associate
Partners Personnel has a Medical Reimbursement Associate position in the Langhorne, PA area. You will be responsible for
submitting and resolving health insurance claims to multiple payers.
Responsibilities:
Prepare documentation and process patient information efficiently.
Review diagnosis, procedure codes, and charges for accuracy.
Request and obtain additional patient information and assignment when needed.
Verify patient insurance eligibility for services.
Check system for possible overlapping claims and ensure accurate insurance information is recorded.
Update insurance information in the proper system and process and submit claims timely and appropriately.
Send all necessary information and documents to payer and follow-up on claims daily.
Ensure claims are adjudicated within14 business days.
Work electronic error/reject reports daily and complete weekly explanation of Aged A/R.
Perform other duties as needed to assist in the functioning of the department Skills & Qualifications.
Work independently using good judgment and decisions.
Communicates professionally in a fast-paced environment.
Excellent phone and computer skills
Proficient in Microsoft Outlook, Word, Excel
High school diploma or GED required.
Two years of college or equivalent work experience preferred. Two years of recent healthcare accounts receivable responsibility Thorough knowledge of all private insurance rules and regulations as it relates to claims submission.