Rebill Specialist I
Proactively collects previously denied payment from Medicare by following defined collection process in accordance with Medicare guidelines in a timely manner under the direction and general supervision of the Department Supervisor
Regular, punctual attendance Fundamental computer knowledge Read and reply to email in a timely manner as needed Listen and respond to voicemail in a timely manner as needed Provide supervisor with work progress reports on a daily, weekly, month basis or as required Comprehensive knowledge of billing process To develop, for each Medicare Insurance claim denial, a reasonable patient “product use” detail and history; to develop and substantiate the “product use” evidence, and present the patient’s case to Medicare in the manner required Generate denied claim status follow up in the computer system Demonstrate effective telephone skills Assemble electronic clams for billing Research, validate and document beneficiary eligibility Understand their role and impact they have in the departmental team; including exhibiting positive attitudes, willingness to help wherever asked, staying focused and on task to the matter at hand, and being part of the success of your team Perform other task as requested by Supervisor or Management Staff
- High School diploma or equivalent
- General office experience required
- Working 10-key and/or keyboarding skills
- Experience with MS Office applications
- Ability to recognize the need for escalation
- Demonstrates excellent problem-solving skills
- Willingness and aility to participate in all required training programs
- Proficient in general office duties
- Ability to prioritize
- Attention to detail
This position reports to department 1) supervisor and 2) manager.
This position supervises/manages no other employee.
Working conditions are typical of a general office environment. May require long periods of sitting or standing and consistent keyboarding. Overtime may be required as deemed necessary by business objectives.