Alternate Solutions Health Network Logo

Alternate Solutions Health Network

Reimbursement Specialist II

Posted 13 Days Ago
Be an Early Applicant
In-Office
CORP Colony, Tondiarpet, Chennai, Tamil Nadu, IND
Junior
In-Office
CORP Colony, Tondiarpet, Chennai, Tamil Nadu, IND
Junior
The Reimbursement Specialist collects payments, manages claims processing, confirms payor eligibility, and addresses billing inquiries to ensure timely and accurate payments.
The summary above was generated by AI

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.               

Schedule: Monday - Friday, 8:15am - 5:00pm in our office in Kettering OH
 

Location: In-office at our Kettering, OH location | Hybrid Model available based on productivity

The Reimbursement Specialist is responsible for all collection aspects for assigned payors and confirms eligibility for payor types. The Reimbursement Specialist ensures prompt payments and claim processing. Functions of this role performed timely and accurately, affect patient satisfaction, and quality outcomes. The Reimbursement Specialist complies with all legal, Medicaid & private insurance and company rules and regulations.

Responsibilities:
• Collects and follows up on accounts for payment in full
• Sends all electronic and paper claim resubmissions or correct claims
• Makes recommendations to the Controller regarding difficult payors with regards to prompt payments, claims processing, and recognition of denial trends.
• Assists clients, their families and co-workers in understanding billing procedures and payment
• Corrects claims and rebills for payment
• Communicates with employees, clients and vendors in regards to services
• Proactively addresses billing challenges
• Understands and practices agency policies and procedures
• Continually improves practices
• Follows all legal rules and regulations
• Attends in-services, educational programs and meetings as necessary
• Other duties as assigned


Qualifications:

• High school diploma or equivalent.
• An Associate’s degree or equivalent experience required.
• Billing and Health Care experience is required
• Excellent oral and written communication skills.
• Proficiency in Microsoft Excel, Word, and Outlook.
• Detail oriented with ability to manage multiple responsibilities and ability to prioritize responsibilities. Demonstrate critical thinking and problem solving.

Kettering, OH

#INDASHN3

We’ll help you put your passion for patient care to work.  Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.

Similar Jobs

49 Minutes Ago
Hybrid
Chennai, Tamil Nadu, IND
Senior level
Senior level
Big Data • Fintech • Information Technology • Business Intelligence • Financial Services • Cybersecurity • Big Data Analytics
The role involves developing data-driven solutions for consumer credit models, managing risk, analytics engagements, and delivering insights to cross-functional teams.
Top Skills: C/C++HadoopHiveJavaPigPythonRSparkSQL
7 Hours Ago
Remote or Hybrid
India
Senior level
Senior level
Artificial Intelligence • Hardware • Information Technology • Security • Software • Cybersecurity • Big Data Analytics
The role involves working with business and IT teams on Oracle Fusion Cloud solutions in supply chain areas, focusing on delivering innovative solutions and enhancements.
Top Skills: Ai/MlAutonomous DbChatbotsOracle ApexOracle EbsOracle Fusion CloudRobotic Process Automation
7 Hours Ago
Easy Apply
Remote or Hybrid
India
Easy Apply
Senior level
Senior level
Big Data • Cloud • Software • Database
The Staff Engineer will design and implement a platform for the Application Modernisation, focusing on distributed systems and infrastructure, mentoring engineers, and ensuring security compliance.
Top Skills: Api GatewaysContainerizationOrchestrationPersistent Storage SolutionsSoftware Development

What you need to know about the Chennai Tech Scene

To locals, it's no secret that South India is leading the charge in big data infrastructure. While the environmental impact of data centers has long been a concern, emerging hubs like Chennai are favored by companies seeking ready access to renewable energy resources, which provide more sustainable and cost-effective solutions. As a result, Chennai, along with neighboring Bengaluru and Hyderabad, is poised for significant growth, with a projected 65 percent increase in data center capacity over the next decade.

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account