The Reimbursement Coordinatoris responsible forfollowing the reimbursement process to ensuretimelyandaccuratepayment for products and services provided to patients on behalf of WellSky clients. The scope of this job includes overseeing claims processing, payment posting and follow-up activities, along with addressing discrepancies and resolving claims denials.
We invite you to apply today and join us in shaping the future of healthcare!
Key Responsibilities
Obtain billing information from clients to generate claims, perform QA of charges, and make modifications or changes asrequiredto produce a clean claim.
Submit claims to insurance companies within the individual insurance company'stimelyfiling period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primarypayer, and track pending claims.
Utilize reports todeterminetasks that require follow up and obtainclaim'sstatus by calling the payer and/or using an online claims status system.
Research claim payments, partialpaymentsand over-payments, and takeappropriate actionfor escalating claims not paid within60 daysor for denied appeals.
Performcollectionfollow up actions on primary and secondary claims as well as patient balances as assigned.
Prepare write-off forms whenbad debtisidentifiedand document description of the reason for each write-off.
Perform other job duties as assigned.
Required qualifications
GED or High School Diploma
At least 1-2 years of relevant work experience
Home Health billing/reimbursement experience
Experience in EPIC EMR
Preferred qualifications
Hospice or Palliative Care experience
Job Expectations
Willing to workadditionalor irregular hours as needed
Must workin accordance withapplicable security policies and procedures to safeguard company and client information
Must be able to sit and view a computer screen for extended periods of time
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WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:
WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.
Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.
WellSky is one of America’s largest and most innovative healthcare technology companies leading the movement for intelligent, coordinated care. Our proven software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum. In today’s value-based care environment, WellSky helps providers, payers, health systems, and community organizations scale processes, improve collaboration for growth, harness the power of data analytics, and achieve better outcomes by further connecting clinical and social care.
WellSky serves more than 20,000 client sites — including the largest hospital systems, blood banks, cell therapy labs, home health and hospice franchises, post-acute providers, government agencies, and human services organizations.
Informed by more than 40 years of providing software and expertise, WellSky anticipates clients’ needs and innovates relentlessly to build healthy, thriving communities. For more information, visit wellsky.com.
