Reimbursement Coordinator - Home Health

Are you passionate about the intricate world of healthcare finance, eager to ensure that vital services are appropriately compensated? Do you thrive on meticulous detail, enjoy solving puzzles, and want to contribute to a team that makes a real difference for patients and providers? WellSky invites you to bring your expertise to our growing, dynamic team as a Reimbursement Coordinator. This fully remote, worldwide opportunity allows you to connect with colleagues and impact healthcare from wherever you are, shaping the future of care delivery.

Overview

As a Reimbursement Coordinator with WellSky, you will play a crucial part in the financial health of our clients' home health services. Your primary responsibility involves diligently managing the entire reimbursement process, ensuring that payments for products and services reach providers accurately and promptly. This comprehensive role encompasses overseeing the full cycle of claims processing, meticulous payment posting, and diligent follow-up activities. You will also skillfully address discrepancies and resolve claims denials, contributing directly to the seamless operation of healthcare financing. Join us in this vital role and help us advance healthcare efficiency!

Key Responsibilities

Obtain precise billing information from clients, meticulously generating claims and performing quality assurance on all charges. You will also make any necessary modifications or changes to produce perfectly clean claims.
Submit claims to various insurance companies, always adhering to each individual company's specific timely filing periods. You will meticulously prepare and print all secondary claims that do not automatically cross over from Medicare or other primary payers, and diligently track the status of all pending claims.
Utilize comprehensive reports to determine which tasks require immediate follow-up. You will then proactively obtain claims statuses by directly contacting payers and/or leveraging online claims status systems.
Thoroughly research claim payments, investigating partial payments and identifying any over-payments. You will take appropriate, decisive action, escalating claims that remain unpaid beyond 60 days or for denied appeals.

Requirements

Demonstrated experience in medical billing, healthcare reimbursement, or a related financial role within the healthcare industry.
A keen eye for detail and exceptional organizational skills, vital for accurate claim processing and follow-up.
Strong communication abilities, essential for interacting effectively with insurance payers and clients.
Proficiency in navigating various insurance company portals and billing software.
A solid understanding of medical billing terminology, insurance processes, and timely filing regulations.
The ability to work independently and manage a diverse workload in a remote environment.

What You'll Gain

Impactful Work: Contribute directly to ensuring patients receive necessary care by facilitating smooth financial operations for healthcare providers.
Professional Growth: Develop your expertise in healthcare reimbursement within a leading health technology company, with opportunities for continuous learning.
Remote Flexibility: Enjoy the autonomy and work-life balance that comes with a fully remote, worldwide position, allowing you to work from anywhere.
Supportive Culture: Join a collaborative and innovative team committed to transforming healthcare.
Competitive Compensation: Receive a compensation package that recognizes your skills and contributions.