Reimbursement Information | TalentOne Jobs

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CardioNet Inc

CardioNet has developed an integrated technology and service - Mobile Cardiac Outpatient Telemetry™ (MCOT™) - which enables heartbeat-by-heartbeat, ECG monitoring, analysis and response, at home or away, 24/7/365.CardioNet is focused on helping physicians diagnose and treat patients with arrhythmias.Time is of the essence in diagnosing and treating arrhythmias. Delays can lead to increased morbidity and mortality and cause significant anxiety for patients. But rapidly diagnosing and effective... Read More

Address	227 Washington Street #300 Conshohocken, PA 19428
Website	/www.cardionet.com/
Holding	No Holding Details

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Reimbursement

Responsibilities:

With experience, can perform two (2) out of the three (3) functions as defined

below with direct supervision:

Billing-

    * Billing claims to payors
    * Work acknowledgements and billing error reports
    * Identify and resolve claim issues

Remittance-

    * Timely and accurate application of all payor remittances to customer accounts.
    * Reconcile against deposit detail to ensure that all transactions have been posted.
    * Work with Finance, Payor Relations, and external customers to facilitate the resolution of discrepancies caused by over or short payments made by the payor.

Collections-

    * Customer Service
          o Interact with external/internal customers as necessary to resolve problems and expedite payments
          o Obtain status of outstanding claims
    * Problem Solving/Troubleshooting
          o Follow-up on outstanding AR balances by utilizing system work queues
          o Ensure timely and accurate processing of re-bills to the appropriate insurance companies.
          o Provide detailed information regarding problem payors to management
    * File Appeals
          o Submit appeals based on denials from payor
          o Provide suggestions for solutions to management

Other Duties as Assigned
Qualifications:

    * High school diploma or equivalent; Bachelor’s Degree in Accounting, Finance, Economics, Business Administration or related field preferred
    * Up to three years experience- Reimbursement Specialist I
    * Computer experience required:   Microsoft Office – Excel, Word, Outlook, PowerPoint
    * Must be a self starter, detail oriented
    * Strong mathematical skills

Preferred:

    * Reimbursement/billing/collections experience in Medicare, Medicaid, Managed Care, and Third Party Insurance in the healthcare industry
    * Knowledge in ICD9 and Procedures; benefit plans/eligibility; EOB’s/EOMB’s
    * Experience working with authorizations, and medical terminology and/or healthcare/HIPAA-regulated environment is a plus

Personal Attributes

    * Strong communication skills
    * Ability to work independently as well as in team environment
    * High level of customer service
    * Positive attitude, mature, conscientious, and accountable

Other Job Information

Vacancy type:	Full Time	Contact Mode:	not provided
Fax:	610.828.8048	Contact Name:	not provided
Job Duration:	not provided	Phone:	888.312.BEAT
Email:	CustomerService@cardionet.com