Provider Reimbursement Specialist
Job Summary
Working remotely, the full-time Provider Reimbursement Specialist will research and develop business rules for reimbursement methodologies, create fee schedules, and perform quality analysis on claim submissions.
Key responsibilities
- Research and develop business rules supporting reimbursement methodologies for various business opportunities
- Develop and submit fee schedules and provider rates to claim pricing platforms
- Perform post-load quality analysis and provide correction instructions for claim platform submissions
Required qualifications
- High School Diploma or GED
- 2+ years of experience working on CSP FACETs
- 1+ years of experience supporting professional reimbursement
- Intermediate to advanced proficiency in Microsoft Excel and Word
- Access to a designated quiet workspace with the ability to secure Protected Health Information (PHI)
Complete Job Description
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