Reimbursement Specialist

Location
Washington, DC
Salary
$19.36 per hour
Posted
Oct 24, 2019
Closes
Oct 31, 2019
Ref
4807745
Function
Administrative
Industry
Healthcare
Hours
Full Time
5 YEAR CONTRACT POSITION!

Our utilization review teams conduct medical necessity reviews for medical, dental, and other healthcare services under Medicaid.

This position support them by:
  • Perform follow up on denials, missing payments, correct claims, post payments, post charges, etc.
  • Helping providers to submit documentation of requests for case management, utilization review, and other medical management services.
  • Loading cases submitted via the web, fax, or phone into the care management system for clinical review.
  • Conveying case information and other notifications to providers via inbound and outbound phone calls.
  • May perform scripted clinical review.
  • Refers reviews requiring further action to clinical review staff or supervisor.

Key abilities we seek include:
  • Reliability, Dependability, Customer focus, Flexibility, Detail Oriented, Excellent communication (verbal and written), Team oriented, Positive Attitude

Qualifications:
  • 3 years of medical claims/medical billing
  • Must have strong Medicaid experience
  • Strong Medical terminology
  • Microsoft Office (Word, Excel and Outlook)
  • Type 40 wpm

Location: Metro Center Station

Hours: Monday through Friday / 8:00am to 5:00pm

Type: Contract

Pay Rate: $19.36 per hour

Please email resume to mrobinson@nri-staffing.com .

Additional Information

NRI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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