Job Summary

A company in the healthcare industry is looking for a Billing Reimbursement Specialist II.

Position Responsibilities:

• Reconciling medical claims for the purpose of collecting revenue for the company
• Appealing and managing denials based on payer guidelines in a timely manner
• Reviewing and working various reports including aging

Required Qualifications:

• High School Diploma
• 2 years of experience in A/R, Billing, insurance or healthcare; a background in Laboratory insurance billing preferred
• Working knowledge of appropriate coding systems; CPT, ICD-10 and HCPCS, coverage; LCD/NCD and Payer Medical Policies associated with such codes
• Proficient in Microsoft Outlook, Excel, Word, the Inter and Intranet and other programs/software as necessary
• Working knowledge and hands-on experience of medical billing and reimbursement