Reimbursement Specialist

Description:

We are seeking a contract Billing Specialist (referred to as Patient Accounts Follow up Position), with a focus on Appeals & Denials. This role will be an open-ended contract.

The primary purpose of this role is to jump in and help with Denials within the Commercial lines of insurance. The Patient Account Representative is responsible for managing all aspects of accounts receivables to ensure maximum/timely reimbursement for services performed for hospital billing and claims. You will be responsible for keeping current on all payer specific regulations and procedures and will provide written summaries of findings and recommendations. This position is customer focused with emphasis on accounts receivable management. The Patient Account Representative is required to follow established guidelines, take action to recover delinquent accounts with the payers. Place calls to the payers to collect and assist in maintaining Network A/R days. Follow up maybe performed by way of payer websites when appropriate. This position will allow the flexibility to work from home upon completion of the initial training period.

Shift: 7a-8:30am start time then will work 8 hours

Additional Skills & Qualifications:

• 2+ years of medical billing experience where they are specifically handling DENIALS with commercial payers such as Anthem, Cigna, UHG, Humana, Aetna)
• Prior experience handling claims within government plans (Medicare/Medicaid/Tricare/HIP Plans)
• Understanding of the reimbursement methodologically (of contracts)
• Open to someone with government experience if they don't have commercial
• EPIC experience preferred
• Resides in the Indianapolis area

DISQUALIFIERS:

• No experience with Appeals & Denials
• Only has experience from Ciproms

Pay and Benefits

The pay range for this position is $20.00 - $20.50

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.