Reimbursement specialist Jobs in San Jose, CA

Description

• THIS ROLE WILL BE REMOTE

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.

Full Time; AM 8 : 30 am - 5 : 00 pm; Monday - Friday

Target hiring salary wage range $25.00 - $32.00 per hour - Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.

POSITION SUMMARY

The Reimbursement Specialist is responsible for all billing and collection activities for assigned fee for service / third party facilities, including Medicare and Medi-Cal / Medicaid, counties, commercial insurance and members served. Keeps up to date on all applicable CPT and other coding changes, fee for service and / or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business.

ESSENTIAL FUNCTIONS

o Confirming census, financial eligibility data, authorizations

o Completing paper and / or electronic billing to multiple payers

o Posting payments, manually and electronically

o Identifying under / overpayments and process refunds

o Responding to claim denials in a timely manner

o Running aging reports for collection call identification, completing collection calls and making follow up note entries

o Identifying bad debt and completing write off requests

o Identifying / completing billing adjustments

o Issuing client statements

o Completing month end reconciliation

Duties and responsibilities may be added, deleted and / or changed at the discretion of management.

QUALIFICATIONS

Required :

Preferred :

SKILLS

PHYSICAL DEMANDS

The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

The employee is constantly required to sit and occasionally required to stand, walk, reach, twist, bend, pull and lift and carry items weighing 10 pounds or less as well as to do simple grasping occasionally. The position requires manual deviation, repetition and dexterity, occasionally drives. Visual requirements include computers and books exposure.

EOE AA M / F / V / Disability

If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)