Date Posted: May 12, 2022
Deadline: July 15, 2022
Organization: Greenwood Genetic Center
Location: Greenwood
City: Greenwood
Website: View Website
Job Type: Full Time
Requirements:
Required Skills/Abilities:
- Strong critical thinking skills
- Self-motivated and self-directed with the ability to work independently and as part of a team
- Ability to maintain strong relationships with physicians, employees, patients, and customers.
- Excellent organizational skills, time management skills and attention to detail
- Proficient in working with computer to include familiarity with Microsoft Office products, Electronic Medical Records and electronic claims software.
- Strong customer service skills to include being comfortable discussing billing issues with both patients and insurance companies
- Excellent verbal and written communication skills
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
Job Description:
Job Summary:
The Reimbursement Specialist will be responsible for working with referring providers and/or patients to assist with preauthorization, billing, and reimbursement issues related to genetic testing, visits or consults provided by GGC.
Supervisory Responsibilities:
- May assist in training newly hired and established employees in areas related to insurance reimbursement, preauthorization, and collections.
Duties/Responsibilities:
- Perform daily activities of preauthorization submissions, billing, and auditing of accounts to ensure accurate claims submissions and optimization of reimbursement from commercial/governmental payers, clients, and payers for services provided.
- Document eligibility, benefit, and authorization information in accordance with established guidelines.
- Verify prior authorizations and/or pre-service requirements are met.
- Proactively manage and maintain all outstanding authorization accounts to increase billing of clean claims.
- Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and external customers.
- Document all account activity and correspond to inquiries in a timely manner.
- Work as part of the accounts receivable operations to resolve open balances with payers.
- Escalate payer issue trends for leadership consideration along with possible solutions.
- Exhibit a good understanding of genetic services provided, as well as fee practices, with the ability to recognize areas of possible difficulty and take appropriate steps.
- Assist in resolution efforts for payers assigned within the AR department.
- Communicate and work effectively with colleagues from all departments.
- Support training of new and existing personnel specialists with tasks related to the preauthorization and reimbursement function.
- Consistently follow written and verbal communications and internal processes, as well as meet or exceed monthly quality and productivity standards.
- Perform other related duties as assigned.
Education and Experience:
- Bachelor’s degree preferred, with relevant experience in patient billing, preauthorization or insurance verification.
- Demonstrated knowledge of health insurance plans including Medicare, Medicaid, HMO’s and PPO’s beneficial.
Schedule:
Monday-Friday, 8:00am-5:00pm
Contact Name:
Talitha Kay
Contact Phone Number: 864-941-8125
Contact Email:
tkay@ggc.org
Program(s):
Application Process:
Apply on company website.
Employer Address:
101 Gregor Mendel Circle
Greenwood, SC 29646
United States
Our organization does not discriminate on the basis of race, color, religion, national origin, age, sex, sexual orientation, or disability.