Reimbursement Specialist

illing and Collections

Work from home • ID:
12092-128
• Full-Time/Regular

By joining Numotion, you will be a part of the nation’s leading provider of Complex Rehabilitation Technology. Numotion is helping thousands of people with individually configured, medically necessary mobility products and services. From manual and powered wheelchairs to disposable medical supplies that serve unique medical and functional needs, we are improving the lives of people with disabilities by enabling them to actively participate in everyday life. Maintaining our standing as the industry leader in CRT comes from having a workforce with a diverse mix of minds, backgrounds and experiences, and we are committed to cultivating an inclusive work environment based on open dialogue, active listening and ongoing definitive actions.

Primary Summary:

Work to achieve cost effective accounts receivables performance as measured by payments, aging of receivables, and reduced DSO. Oversee, report, and improve aspects of collections and unapplied payments, as directed by Manager/Director. Take an active role in constantly improving the process. Communicate regularly/openly with RBC Director and other management.

Duties and Responsibilities:

1. Collect accounts receivables on Major Accounts.

• Works entire account; all open invoices for customer if more than one.
• Work to compliment collection activity being done on the accounts assigned to Billing & Collections Coordinator; usually the Reimbursement Specialist works the account first.
• Use AR Activity Planning report to enhance performance.
• Work accounts immediately and no later than 7 calendar days as measured by ‘Needs Action’ and ‘Follow Up Now’ statuses on AR Activity Planning Report.
• Follow Department’s best practices to ensure compliance with State and Federal regulations.

1. Maintain reduced unapplied payments

• Work to supplement and compliment the unapplied payment resolution work being done by the assigned BCC.
• Work with BCCs and Reimbursement Managers to resolve unapplied deposits.

1. Reporting

• Analyze and document trends related to payer denials, underpayments, overpayments, fee schedule changes, and BCC workflow related to unapplied deposits and other billing and collections functions.
• Create and distribute weekly/monthly reports in required format as directed by manager.
• Create, write, and communicate procedures with RBC Director to improve work flow.
• Recommends departmental education and training needs that relate to reimbursement functions to Reimbursement Managers and RBC Director.

1. Audits/Appeals

• Prepare and respond to audits/appeals within the timeframes (as dictated by the payer).
• Communicate with management weekly tracking and progress on appeals/audits.
• Identify trends and communicate with management (providing recommendations whenever possible).

1. Performs other duties as assigned by management.

Continuing Education:

• Participate in payer webinars, as needed. (I.e. MAC, Medicaid).
• Review pertinent industry information as needed.

Competencies:
To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.

• Analytical – the individual synthesizes complex or diverse information.
• Problem solving – the individual identifies problems in a timely manner and gathers and analyzes information skillfully.
• Oral Communication – the individual speaks clearly and persuasively in positive and negative situations, demonstrates group presentation skills and participates in meetings.
• Written Communication – the individual writes clearly and concisely in all writings.
• Quality management – the individual looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.
• Judgment – the individual displays willingness to make decision, exhibits sound and accurate judgment and makes timely decisions.
• Planning/organizing – the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.
• Safety and security – the individual observes safety and security procedures and uses equipment and materials properly.

Skill Requirements:

• Minimum of five years accounts receivable experience
• Minimum five years experience within a healthcare or durable medical equipment area with responsibility for:
  o Functional and strategic responsibility for Regional Billing Center operations.
  o Superior communication skills, both written and verbal, to effectively address all levels within the organization.
  o Ability to define problems, collects data, establish facts and draw valid conclusions.
  o Knowledge of MS Word, Excel, PowerPoint, and Outlook.

At Numotion, we offer competitive compensation packages, including medical, dental and vision insurance, short-term and long-term disability, a 401k, and life insurance. Numotion is an equal opportunity employer. We strive for a workplace that reflects the communities we serve and do not tolerate discrimination against our employees, customers, and partners regardless of ethnicity, disability, gender identity, sexual orientation, religion, age, citizenship, marital or veteran status. Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.