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Johnson Service Group has immediate openings for Healthcare Insurance Reimbursement Specialists. Must be Bilingual SPANISH/ENGLISH
This is a remote position
Monday- Friday 8:30 am- 4:00 pm Pacific Standard Time Hours
Salary $23.00 per hour
Job Description Summary
- Reports to the Director, Operations.
- Responsible for processing financial transactions
- Maintain and balance individual accounts receivables including delinquency processing and terminations.
- Manage all financial aspects of reimbursement requests submitted by consumers,
- Generating desired reports from the company’s financial processing system
- Processing and approving reimbursement payments via the company’s financial processing systems.
Qualifications
- BA/BS degree in accounting, finance or business related field preferred plus 3-4 yrs exp. working in a related field or equivalent combination of education and experience preferred.
- Comprehensive command of the Spanish language with the ability to utilize it up to 50% of the time.
- Proficient knowledge of end-user office software i.e., calendaring, word-processing, spreadsheet and email and the ability to develop a strong proficiency working with a proprietary Health Care system.
- Advanced customer service skills.
- Moderate ability to analyze and resolve technical problems and/or client inquiries as they arise.
- Intermediate knowledge of generally accepted Health Care Eligibility and Billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
- Knowledge of health insurance industry and standard health care eligibility provisions.
Transaction Processing
- Review and enter manual requests for reimbursement into the company’s financial processing system.
- Reach out to providers that need additional explanation regarding the documents needed for reimbursement review and processing.
- Process any requests the team sends for changes via the claims processing system.
- Process and verify necessary corrections on manual adjustments posted to the consumer’s account.
- Assess and process refunds for terminations and overpayments on all accounts.
- Apply cash to appropriate ledgers and research application issues.
- Provide back-up resource for invoice generation, daily cash application and other staff financial duties.
- Process related written and verbal account inquiries to a conclusion in a timely manner, including research as needed.
- Provide guidance and answer questions for providers needing customer contact, including, but not limited to making outbound calls, sending messages via internal systems for tracking and continuity and returning messages.
** Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.
Johnson Service Group, Inc. (JSG) is a North American leader in the staffing and consulting services industry, with almost 40 years of experience investing in people and companies. We can be found locally in more than 30 offices throughout the United States and Canada. JSG continues to work diligently to offer our clients and candidates world-class service and diversified offerings to fit their evolving needs.
People and culture make JSG a great place to work. We are all about growing and investing in our staff. JSG’s mission is to empower people, help our clients reach their goals, and hire motivated individuals.
Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.
People and culture make JSG a great place to work. We are all about growing and investing in our staff. JSG’s mission is to empower people, help our clients reach their goals, and hire motivated individuals.
Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.
