Reimbursement Coordinator - SNF, Medicaid/Hospice

Corridor, powered by WellSky, is a market leading provider of revenue cycle management (RCM) solutions to Skilled Nursing Facilities (SNFs). We have a holistic approach to accounts receivable that encompasses every aspect of A/R management, from the point of admission to collections.

We are currently seeking a full-time Reimbursement Coordinator for our SNF – Medicaid/Hospice Team. The ideal candidate has experience with ensuring proper financial reimbursement for health insurance claims. Additionally, you may be a great candidate if you have excellent communication and interpersonal skills, experience with the Microsoft Office suite of solutions, can maintain attention to detail under varying scenarios, are skilled at time management, and meeting deadlines. If this sounds like you, we invite you to apply today!

A day in the life!

You will be responsible for the following:

• Obtain billing information from clients to generate claims
• Performing QA of charges received from the clients and making modifications/changes as required to produce a clean claim
• Reviewing contracts/details of new payers before billing
• Tracking pending claims
• Submitting claims to insurance companies in a timely fashion and within the individual insurance company’s timely filing period
• Preparing and/or printing all secondary claims that do not automatically cross over from Medicare or other primary payer
• Following up on patient balances within established timeframes
• Obtaining claim statuses by calling the payer and/or using an on-line claims status system
• Utilizing reports to determine tasks that require follow up
• Taking appropriate action for escalating claims not paid within 60 days or for denied appeals
• Preparing write-off forms when bad debt is identified and documenting the description of the reason for the write-off
• Researching claim payments, partial payments, over payments

Do you have what it takes?

Required Qualifications:

• 1-2 years related work experience

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Additional job expectations applicable to this position include:

• Willingness to work additional or irregular hours as needed
• Working in accordance with corporate and organizational security policies and procedures
• Performing other responsibilities as assigned

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical, dental, and vision benefits
• Mental health benefits through TelaDoc
• Prescription drug coverage
• Generous paid time off, plus 13 paid holidays
• Paid parental leave
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year