The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support and customer service to branch offices regarding billing concerns.

Essential Duties and Responsibilities:

• Processes and posts revenue, making changes as needed

• Ensures sales have appropriate documentation such as nursing notes, worker timecards, authorization, purchase order, and other payer requirements as appropriate

• Accurately generates claims and/or invoices of sales and bills a variety of payer sources via mail, fax, web portal or electronic clearinghouse

• Researches and follows up on unpaid accounts after expected payment timeframe

• Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment

• Follows all quality processes for department/team to avoid preventable write-offs and improve collections efforts

• Provide great customer service for our office partners, patients, other departments and payers

• Keeps Team Leader informed of problem accounts or potential impacts to cash collections and A/R

• Performs other duties as assigned

Minimum Requirements:

• High school diploma or equivalent is required; undergraduate degree preferred

• Experience in medical billing, accounts receivables, and/or collections preferred

• Quick and accurate Alpha/numeric data entry skills

• Proficiency in Microsoft Office, including a working knowledge of Microsoft Word and Excel and Web-enabled applications

• Excellent customer service skills

• Exhibit excellent work ethic and commitment to job responsibilities

• Must be a self-starter, with ability to work well as part of a team and independently

• Must present a positive image that reflects well on the organization

• Excellent written and verbal communication skills.

  Benefits

At Maxim Healthcare Services, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

• Competitive pay & weekly paychecks

• Health, dental, vision, and life insurance

• 401(k) savings plan

• Awards and recognition programs

  About Maxim Healthcare Services

Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.