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Reimbursement/Claims Specialist
The Reimbursement/Claims Specialist investigates patients insurance,
pursues prior authorizations and/or works with providers to ensure
claims are paid fully and accurately. The Reimbursement Specialist
works in conjunction with the Case Manager and Appeal Specialist to
ensure that the patients insurance covers the treatments including
working to understand the in-network providers, co pays and any restrictions
that may be involved. The Reimbursement/Claims Specialist also follows
up on any prior authorizations requirements and any requests from
the insurance company.
Requirements:
2 years experience in Healthcare or a related field. Proficiency in
healthcare insurance reimbursement including benefit investigations
& claims. Prior experience processing or adjudicating claims is
desired along with strong writing skills. Ability to multi task, identify
reimbursement trends, and meet customer commitments are key along
with the desire to work in a team environment and successfully work
with others to achieve a common goal. Effective problem solving skills,
attention to detail and strong verbal skills are also important. |
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Contact
Us
Premier Source
1650 S Amphlett Blvd
Suite 300
San Mateo
California 94402
Tel 415.349.2010
Fax 415.349.2019
info@premiersource.com |
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