Reimbursement Specialists (Self-Pay/Customer Service, Billers, Ins. Follow-up, Medicare, Medicaid)

Caremedic Systems, Inc.(www.CareMedic.com ) is the leading provider of advanced revenue cycle management software and outsourced services for healthcare organizations. 



 

Due to rapid growth and expansion, our Alpharetta-based (and MARTA accessible) services location has an immediate need for the following types of Reimbursement Specialists:

 Self Pay/Customer Service Specialists: 2-3 yrs of healthcare patient accounting exp. Must possess understanding of common medical insurance/healthcare industry language Possess expertise and comfort level in speaking directly with patients regarding balances Ability to accurately read and interpret EOBs Possess excellent telephone etiquette and customer service skills Billers 2-3 yrs of  healthcare patient accounting exp., with 1-2 yrs devoted to medical billing  Ability to correctly bill various insurances Proficient knowledge of value codes, condition codes and modifiers Must understand UB-92 and HCFA 1500 Must have strong knowledge of ICD-9 Possess strong analytical and research skills

 Insurance Follow-up (including Second Pay) 2-3 yrs of healthcare patient accounting exp., with a focus on non-gov?t insurance follow-up Possess verifiable knowledge of managed care protocols for coverage, based on  illness/injury and whether provider is in or out of network Possess in-depth understanding of claim denials and actions required for insurance payment/resolution (know when to escalate)
Medicare Specialists:    2-3 yrs of healthcare patient accounting exp., with a focus on Medicare Part A & Part B  Ability to accurately review and correct claims Possess working knowledge of Medicare Regulatory Guidelines  Medicare claim resolution (from open to close ? not solely status) Must possess working knowledge of Florida Shared System (FSS) Must understand UB-92 and HCFA 1500

 Medicaid Specialists 2-3 yrs exp. of healthcare patient accounting exp., with a focus on Medicaid in multiple states (GA + at least one other) Ability to review and correct Medicaid claims (on-line) Possess proficiency in Medicaid regulations & guidelines Must understand UB-92 and HCFA 1500 Must possess in-depth understanding of crossover claims

 

All Reimbursement Specialists (regardless of specialized area) must have 2-3 years healthcare reimbursement experience in a hospital or provider setting, performing any one or more of the following functions: 

?  Customer Service/Self-Pay

?  Hospital/Physician billing

?  Collections

?  Payment posting

?  Account auditing   

Qualified candidates will possess a positive/team attitude and will be highly organized, detail oriented, able to prioritize workflow and able to regularly demonstrate excellent follow-up skills.

CPAR certification desirable.

Caremedic Systems, Inc. is an Equal Opportunity Employer. We offer a competitive benefits package that includes Medical, Dental, Vision, Disability, FSA, Life Insurance and 401(k).

 

Apply on line or fax to (770) 410-3905, 24 hrs.  Be sure to include area of specialization in the subject header.

 

 EOE