Reimbursement Representative

Durham, NC 27713

Industry: Reimbursement Representative Job Number: 3697361 Pay Rate: $17.50/hr - $18.00/hr

Job Description

The Greer Group is recruiting a Reimbursement Representative for our client in Durham, NC.

This is a Direct Hire opportunity!
  • Provide direct support to patients and/or customers regarding authorization and insurance coverage for company related products.
  • Answer calls from physician offices, hospitals, and patients using exemplary customer service skills.
  • Accurately enter required information into computer databases and other insurance related data entry to ensure proper and timely billing of claims.
  • Follow established procedures for submitting authorization and/or verification of eligibility for all requested items, as well as determine member benefit coverage for requested items.
  • Call patients and/or providers back with information regarding authorization and any funds due.
  • Full cycle authorization process knowledge.
  • Maintain patient confidentiality as defined by state, federal and company regulations.
  • Establish effective rapport and maintain cooperative working relationships with other employees, professional support service staff, customers, clients, patients, families and physicians or other health care providers.
  • Assist accounts receivables staff in researching unpaid claims related to eligibility, prior authorization and other verification related denials.
  • Perform day to day administrative functions and general office duties.
  • Exercise problem solving and conflict resolution skills when handling any complaints.
  • Assist in education and acting as a resource to clinicians and support staff.
  • Knowledge of federal, state, local and intermediary specific billing requirements.




Job Requirements

  • Knowledge of insurances.
  • Prior experience working with pre-authorization/authorization process necessary!
  • Excellent time management, attention to detail, and organizational skills.
  • Ability to handle interruptions.
  • Mathematical skills for computing and adjusting dollar amounts for patient balances, claims, billing and collections.
  • Current knowledge of CPT, HCPCS, and ICD-9/10 coding systems.
  • HS Diploma/equivalent educational degree or work experience.


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