Reimbursement Specialist II
Global Payments
This job is no longer accepting applications
See open jobs at Global Payments.See open jobs similar to "Reimbursement Specialist II" Georgia Fintech Academy.Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results. We are driven by our passion for success and we are proud to deliver best-in-class payment technology and software solutions. Join our dynamic team and make your mark on the payments technology landscape of tomorrow.
RESPONSIBILITIES:
- Correct claims pre-submission for identified edits that will result in a claim denial or delay
- Follow up on denied and rejected claims as identified through carrier denials/rejections via software or EOBs
- Follow up on unpaid claims in an aged approach for final claim resolution
- Communicate payer requirements or updates to clients and leadership
- Proactively assist clients in identifying specific claim edits to avoid future claim denials
- Communicate effectively and proactively with clients to avoid escalation
- Track A/R progress and profitability of client accounts
- Identify and analyze reimbursement trends within the client office key
- Identify and communicate payer trends
PREFERRED QUALIFICATIONS: Preference will be given to candidates who have the following:
- Knowledge of Medicare, Medicaid and commercial payors claims and appeals processing requirements
- Intermediate knowledge of ICD, CPT and HCPC coding, ability to read EOB and ERA files
- General understanding of CCI edits and carrier specific coding edits
- Strong working knowledge of Windows, MS Word, Internet Explorer, Excel, and Outlook
- Must have a good understanding of the Medical Billing Process and Industry Standards
- Ability to manage and fulfill client expectations
- Excellent written and oral communication skills
- Proven track record or writing compelling appeals with favorable outcomes
- Excellent communication and organizational skills with a customer service focus
- Ability to prioritize effectively and handle shifting priorities professionally
- Knowledge of medical computerized billing and scheduling software systems
- Ability to communicate with various business contacts in a professional and courteous manner
- Self-starter with the ability to organize work for maximum efficiency and attention to quality
- Proven ability to meet deadlines in a fast-paced environment
- Ability to grasp new concepts and procedures quickly, with a desire to learn
Global Payments Inc. is an equal opportunity employer. Global Payments provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex (including pregnancy), national origin, ancestry, age, marital status, sexual orientation, gender identity or expression, disability, veteran status, genetic information or any other basis protected by law. If you wish to request reasonable accommodations related to applying for employment or provide feedback about the accessibility of this website, please contact jobs@globalpay.com.
This job is no longer accepting applications
See open jobs at Global Payments.See open jobs similar to "Reimbursement Specialist II" Georgia Fintech Academy.