Reimbursement Specialist/Payment Processor

The Summit is pleased to announce two (2) positions for Reimbursement Specialist/Payment Processor.

Duties will be assigned based on experience, and may include:

  • Verification of insurance coverage, co-pays and deductibles
  • Pre-certification of medical care and procedures where required
  • Insurance and patient calls and correspondence
  • Billing of assigned medical group(s)
  • HCFA claim form submission
  • Insurance and patient payment processing
  • EOB statement reviews and application of contractual adjustments
  • Batch reconciliation
  • Follow up on outstanding insurance payments
  • Appeal denied or improperly paid clams as appropriate
  • Research problems and recommend solutions
  • Other duties as assigned

Qualifications:

  • High school diploma or equivalent required
  • Previous medical office billing, data entry, ICD-9/10 and CPT coding, insurance and collections experience preferred
  • Ability to comprehend established office routines and policies
  • Understand ethics of confidentiality
  • Excellent organizational skills
  • Tact and diplomacy
  • Previous customer service experience
  • Previous computer experience

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