Healthcare Reimbursement Specialist
hace 6 días
At Experian, we're committed to creating a better tomorrow for our clients and customers. As a Healthcare Reimbursement Specialist, you'll play a vital role in ensuring that our clients receive accurate and timely reimbursement for their healthcare services.
We're seeking an experienced professional with a strong background in managed care claims and appeals. If you have a passion for problem-solving, excellent communication skills, and a commitment to excellence, we want to hear from you
**Key Responsibilities:**
- Implement efficient processes for identifying under-allowed claims using software and other available tools.
- Analyze EOBs for identified under-allowed claims and verify applicable contracts.
- Communicate effectively with payers and networks to resolve appeal issues.
- Compile and submit appeals, and monitor for proper reimbursement.
- Track appeals and recoveries using software, and establish follow-up protocols with payers and networks.
**Requirements:**
- High school diploma or equivalent required; some university studies preferred.
- Minimum 1-2 years' experience working with managed care claims and appeals for healthcare professional services.
- Advanced knowledge of PC skills, with proficiency in Microsoft Office products (Word, Excel, Outlook, etc.).
- Intermediate to advanced level in Excel.
- Knowledge of medical terminology, healthcare professional services billing, and reimbursement environment.
**What We Offer:**
- A competitive salary of $62,000 - $80,000 per year.
- A dynamic and inclusive work environment.
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