Reimbursement Counselor

Position Details:
Title: Reimbursement Counselor
Location: Frisco, TX 75034
Duration: 6 Months (May Extend / Possible contract to Hire)

• Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and refunds, until accounts receivable issues are properly resolved.
• Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
• Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
• Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors.
• Researches and resolves any electronic claim denials, including underpayment of claims.
• Effectively utilizes various means for collections, including phone, fax, mail, and online methods.
• General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding is preferred; global understanding of commercial and government payers is preferred.

• 2-3 years’ experience in medical or Pharmacy Reimbursement environment.
• Thorough understanding of eligibility, benefits, governance and funding of most health care payers from large national programs to small community programs.
• Thorough understanding of Medicare coverage and benefits.
• Those who have successfully completed a Reimbursement Counselor or Benefit Verification Specialist role with Annual Reverification may be a good fit for this role.

If interested and want to apply, please contact: