Company

Unified Health Services LLCSee more

addressAddressChicago, IL
type Form of workFull-Time
CategoryInformation Technology

Job description

Job Type
Full-time
Description
Job Grade: 4
Purpose of job:
The Reimbursement Specialist is responsible for managing outstanding worker's compensation claims by collecting payments, resolving billing issues, and minimizing the number of uncollectable accounts. The ideal candidate will be results-driven and able to focus on key performance metrics to ensure quality and efficiency standards set forth by the company are met.
Main Duties

  • Contact insurance payers, employers, or responsible parties in an effort to collect on outstanding accounts receivables.
  • Identify and resolve improper payments, incorrect denials, billing errors and payer discrepancies.
  • Compile accurate and effective appeals and disputes to the appropriate payers and state divisions.
  • Ensure individual and department goals are met, specifically:

- Reduce the number of past due accounts through timely follow-up;
- Reduce the number of past due accounts through escalation and claim resolution;
- Increase cash performance through effective and persuasive collection attempts;
- Reduce the number of days in AR for uncollectable accounts
  • Research, compile, maintain and manage quality data related to collection efforts.
  • Provide feedback to management regarding payer issues, underpayments and denial trends.

Requirements
Qualifications:
  • High school diploma or equivalent
  • General Office Knowledge (Microsoft Excel and Word)
  • Proper phone and email etiquette

Knowledge, Skills and Abilities:
  • Ability to review, analyze and interpret payor reimbursements, billing guidelines, and state or federal regulations.
  • Detail oriented, with strong analytical, organizational and problem solving skills.
  • Communicate professionally and effectively with employers, insurance payers, and UHS customers.
  • Demonstrates a strong work ethic by managing time effectively and completing all tasks as assigned.
  • Ability to balance productivity with a high-quality level of work standards.
  • Adaptable with the ability to learn and apply knowledge of new programs and procedures quickly.
  • Maintain confidentiality and appropriate HIPAA compliance guidelines.
Refer code: 7854693. Unified Health Services LLC - The previous day - 2024-01-18 12:07

Unified Health Services LLC

Chicago, IL

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