Reimbursement Specialist

General Summary Under the direction of the Director, Revenue Cycle/Biling, the Reimbursement Specialist is responsible to maximize all possible sources of reimbursement by generating timely and accurate bills for Medicare, third-party insurances, and self-pay accounts.

The position supports LifeWays Finance Department activities by entering all hard copy claims into the LEO (Electronic Medical Record) system.

The Reimbursement Specialist will be responsible for posting all cash receipts received from private insurances and status all outstanding billings.

Essential Functions Maximize all possible sources of reimbursement by generating timely and accurate bills to all Insurances.Posts cash receipts to the proper consumer accounts and insurances.

Status outstanding accounts with insurances.Enters new insurances in LEO.Responsible for adherence to all Commission on Accreditation of Rehabilitation Facilities (CARF) and Michigan Department of Health and Human Services (MDHHS) standards.

NOTE: The list of essential and additional functions is not exhaustive.

It may be supplemented as necessary from time to time.

Required Education / Certification / Licensure CHAMPS training, required.High school diploma, required.Three years of medical billing experience, required.Mental Health First Aid Training, upon hire.

Preferred Education / Certification / Licensure Associates Degree in business, or related field.Medical billing certification.

Disclaimer The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification.

It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.

The job description will be reviewed periodically as duties and responsibilities change with business necessity.