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Innovative Renal Care · 8 hours ago

Reimbursement Specialist I

United States

Full-time

Remote

New Grad, Entry Level

0+ years exp

Innovative Renal Care is one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. The Reimbursement Specialist I is responsible for the accurate billing and collection of health insurance payments, coordinating with insurance representatives, and ensuring compliance with relevant standards and regulations.

Health CareHospitalMedical

Responsibilities

Accurately collects revenue for respective financial classes

Obtains and tracks claim status via phone and online portals

Composes and follows up on claims appeals

Identifies, addresses, submits, and processes adjustments

Reviews and understands Explanation of Benefits (EOBs)

Builds effective relationships with insurance carriers and representatives

Allocates coinsurance and deductibles within the applicable database

Reviews and addresses incoming mail correspondence

Communicates with patients regarding insurance checks

Completes and maintains facility reports on a regular basis and reviews for any issues

Maintains strict confidentiality of patient personal information and maintains HIPAA compliance

Qualification

BillingCollectingClaim status trackingExplanation of Benefits (EOBs)Microsoft Office SuiteHealthcare experienceCustomer service skillsTeam playerAttention to detail