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ReBound
ReBound
51 – 200 Darbuotojai
H1B vizos rėmėjasElektroninė prekybaLogistikaMažmeninė prekyba
ReBound is a family of active lifestyle brands developing consumer products for everyday use. The company focuses on practical, enjoyable designs and ongoing product innovation, with work spanning retail, eCommerce, and logistics.
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Medical Accounts Receivable Specialist

Process physician and ambulatory surgery center claims in Epic, resolving denials and improving clean claim rates and reimbursement for Rebound’s patient-focused medical organization.

USJungtinės ValstijosWAVašingtonas
26 $ – 37 $ / valanda
Darbas vietojeVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųGautinos sumos

Aprašymas

  • Prepare and resolve insurance claims for physician and ambulatory surgery center services.
  • Submit professional and facility claims electronically through Epic and its clearinghouse interface.
  • Review Charge Review and Claim Edit queues to verify claim details and correct errors before submission.
  • Check coverage, place of service, provider details, and coding accuracy before releasing claims.
  • Resubmit corrected claims and follow up on rejected or pending submissions.
  • Manage the Charge Review, Claim Edit, and Follow up work queues each day.
  • Refer billing discrepancies to coding, registration, or contracting teams as appropriate.
  • Spot recurring edit problems and escalate them for root-cause investigation.
  • Review payer rejections and denials in Epic, correct issues, and resubmit claims.
  • Contact insurers by phone and through their online portals.
  • Record claim actions in account notes to support audit records and team coordination.
  • Apply CMS and commercial payer billing rules, including NCCI edits, modifiers, and place-of-service requirements.
  • Keep informed about payer-specific rules for professional and facility claims.
  • Maintain billing knowledge for evaluation and management, surgical, and ancillary services.
  • Advance Rebound’s mission and uphold its Core Values.
  • Complete other duties as assigned.

Reikalavimai

  • High school diploma or equivalent.
  • At least two years of medical billing experience in a healthcare setting, such as a physician’s office, hospital, or clinic.
  • Experience with collections, customer service, and insurance billing and reimbursement is preferred.
  • Working knowledge of CPT and ICD-10 coding, HCPCS, modifiers, and payer billing rules.
  • Experience with Medicare, Medicaid, and commercial insurers.
  • Ambulatory surgery center billing experience is preferred.
  • Relevant education may replace applicable experience, or an equivalent combination of education, training, and experience may qualify.
  • Knowledge of insurance billing processes, collection laws, and medical terminology is preferred.
  • Strong verbal and written communication and public relations skills.
  • Able to work independently and collaboratively with staff and teams with limited supervision.
  • Strong problem-solving and critical-thinking skills.
  • Proficient with computers, including Microsoft Office applications.
  • Able to apply service excellence principles and maintain a professional, customer-focused manner in busy or difficult situations.
  • Typing speed of at least 35 words per minute.
  • Able to use a keyboard, calculator, telephone, copier, and other office equipment.
  • Able to occasionally lift files or paper weighing up to 30 pounds.
  • Able to view and type on computer screens for extended periods.
  • Able to comply with HIPAA rules and regulations.

Privalumai

  • Medical, vision, and prescription coverage.
  • Dental coverage.
  • 401(k) retirement plan with discretionary profit sharing.
  • Company-paid life insurance and accidental death and dismemberment coverage.
  • Voluntary life insurance and accidental death and dismemberment coverage.
  • Company-paid short- and long-term disability coverage.
  • Flexible spending and health savings accounts.
  • Employee assistance program.
  • Free parking.
  • Paid time off accrues at up to 24 days in the first year, based on FTE.
  • Monday through Friday schedule with no weekends or holidays.
  • Full-time position, 40 hours per week.

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