Billing and Reimbursement Specialist

HOW WE CARE FOR YOU:

At DRUGSCAN, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while improving patients lives.

• Retirement Plan
• Comprehensive Benefits Package
• Tuition Reimbursement
• Same Day Pay through Daily Pay
• Employee Referral Program
• Paid Time Off & Holidays

SUMMARY:

The Billing and Reimbursement Specialist is responsible for timely processing of medical claims for DRUGSCAN.

DRUGSCAN is a growing national organization that provides continued opportunities for internal advancement. At DRUGSCAN you will be part of a team that is focused on improving people’s lives where you are supported by leadership and colleagues. We are backed by a large healthcare network in the complex and rewarding field of advanced laboratory science. Your voice is heard, and with that, you have an ability to make an impact on the organization and influence your professional growth.

STATUS: Full Time

LOCATION: Horsham, PA

DEPARTMENT: Billing

SCHEDULE: Monday - Friday

ATTRIBUTES:

• 2-3 Years of medical billing experience required, preferably in a laboratory setting

• Associate degree in Accounting, Finance or related field preferred

RESPONSIBILITIES:

• Medical Billing Process current and aged denials to improve cash collections and reduce DSO through timely follow up. Contact third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded or partially responded claims. Consistently reduce AR > 90 to increase cash and lower bad debt. Mail out HCFA claim forms daily. Respond to any requests from third party insurance for any additional information or documentation. Investigate insurance and patient refunds. Verify patients' coveragee and benefits.
• Reporting & Process Improvement Maintain payer issue and resolution sheet to report to Director. Analyze and report trends based on data analysis. Drive efficiencies and improvements to streamline process and increase customer satisfaction. Adhere to appropriate quality control and confidentiality/HIPPA procedures.
• Customer Service Interact with department team members to resolve billing issues in a positive and constructive manner. Answer phones and respond to inquiries or problems in a professional and courteous demeanor with clients, patients or insurance carriers. Assist on special projects when needed. Perform all other duties as assigned by supervisor/management.

PHYSICAL REQUIREMENTS:

Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer.
Minority/Female/Disability/Veterans by a prospective employee and/or employee’s Physician or delegate will be considered for accommodations.