Call Center - Reimbursement Counselor

A-Line Staffing Solutions.
Rockville, MD
Sep 15, 2017
Sep 22, 2017
Full Time
A-Line Staffing is looking for multiple Reimbursement Counselor's / Annual Re-verification Specialist in Rockville, MD. These positions will be from Monday - Friday 8:30 am - 5:30 pm. These Healthcare position will be offering great compensation. Below I have listed a detailed job description and job requirements for you to review. If you are interested in learning more, please reach out to: Mike Richardson at 877-782-3334 ext 245 or by email at [Click Here to Email Your Resume]. For immediate response apply to this job posting and/or call now! Interviews: 9/18 Start DATE: 10/30 PAY RATE: $ 17 per hour / 40 Hours Per Week Job Description: Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved. Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program. Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications. Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researches and resolves any electronic claim denials. Researches and resolves any claim denials or underpayment of claims. Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers. Reports any reimbursement trends/delays to supervisor (eg billing denials, claim denials, pricing errors, payments, etc.). Processes any necessary insurance/patient correspondence. Provides all necessary documentation required to expedite payments Job Requirements: Verifiable High School Diploma or GED Required Healthcare Prior Authorizations / Insurance Verification experience is required Call center experience is required Mike Richardson / A-Line Staffing / 877-782-3334 / [Click Here to Email Your Resume] Benefits investigation, Reimbursement Counselor, Call Center, Data Entry, Healthcare, Admin assistant Call center, Customer Service, verifying eligibility, grievance, enrollment, clinical approvals & denials, prior authorization, healthcare, medical, insurance coverage, Walgreen's, CVS Health, Caremark, Express Scripts, Rx, appeals, coverage determination, benefit investigation, research, call center, customer service, quality assurance, pharmacy, mail order pharmacy, pharmaceutical, healthcare, medical, doctor's office, medical office specialist, referrals, pharmacy technician, call center, PBM, pharmacy benefit management, insurance, Medicare advantage, Medicare part B, Medicare part D, Medicaid, copay, coinsurance, Aetna, Molina, United Healthcare, BCBS, Blue Cross Blue Shield ** CALL NOW** 877-782-3334 EXT 245

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