Healix Infusion Therapy, LLC is currently seeking a qualified remote full-time Reimbursement Specialist II to join our corporate business office and Business Office Team. Currently, the position is a remote work arrangement and qualified candidates must have access to home internet and a dedicated work space free from distractions.  Team members must have excellent communication skills and be able to professionally interact with patients, clients, and colleagues.

DESCRIPTION:

Conducts the evaluation, follow-up and resolution of accounts receivables.

I.  ESSENTIAL DUTIES AND RESPONSIBILITIES:

Include the following. Other duties may be assigned.

• Reviews aging reports with management to prioritize aged and high dollar claim resolution.
• Analyze, identify and communicate trends from aging report that indicate non-payment or slow reimbursement associated with specific payors, therapies, patient accounts and/or clients
• Receives, investigates and responds to inquiries from payors
• Responsible for the follow-up of designated accounts.
• Follow up on denied and short paid claims and payment errors and make applicable corrections for proper adjudication and reimbursement
• Prepare and submit appeals to overturn payor denials
• Proactively seeks resolution to billing issues that may arise and communicate findings management and billing team
• Review claim EOBs and correspondence to resolve denials of non-paid claims
• Create Ad hoc reports as needed and distributing to requesting party
• Special Projects as assigned
• Other duties as assigned

II.  CORE DUTIES AND RESPONSIBILITIES:

Include the following basic performance factors all Healix, Inc. employees are expected to meet.

• Interacts professionally with clients and fellow employees.
• Cooperates with team members to accomplish departmental goals.
• Accepts and incorporates changes or new ideas into daily work.
• Provides service in a responsive, timely and accurate manner to both clients and fellow employees.
• Understands and adheres to policies and procedures.
• Arrives to work as scheduled and notifies supervisors in a timely manner of any absences.
• Recognizes priorities and acts; makes productive use of time.
• Strives to resolve problems and conflicts on his/her own initiative.
• Attempts to create new ideas or new procedures working as part of a group or individually.
• As a part of your job, you will receive protected health information. It is your duty to comply with HIPAA in using and disclosing that protected health information.
• Ability to remain focused, productive and available during company business hours while working remotely.
• Maintain and adhere to productivity standards by providing updates of daily tasks completed to management