Reimbursement Counselor

Position Details:
Title: Reimbursement Counselor
Location: Frisco, TX 75034
Duration: 6 Months (May Extend / Possible contract to Hire)

Responsibilities:

• Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved
• Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
• Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
• Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors
• Researches and resolves any electronic claim denials. Researches and resolves any claim denials or underpayment of claims
• Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.
• General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred. Global understanding of commercial and government payers preferred.

Requirements:

• 2-3 years’ experience in medical or Pharmacy Reimbursement environment.
• Thorough understanding of eligibility, benefits, governance and funding of most health care payers from large national programs to small community programs.
• Thorough understanding of Medicare coverage and benefits
• Those who have successfully completed a Reimbursement Counselor or Benefit Verification Specialist role with Annual Reverification may be a good fit for this role

If interested and want to apply, please contact:
Nimish Singh
Nimish.Singh(at)Collabera.com
973-805-7507