Reimbursement Coordinator - Home Infusion

United States

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Home InfusionIndustries

Requirements

Candidates must possess a GED or High School Diploma and have at least 1-2 years of relevant work experience in medical billing and/ collection. Preferred qualifications include a working knowledge of Word and Excel, experience with home infusion and durable medical equipment billing and collection, IV field experience, medical billing certification, and some college education. The role also requires willingness to work additional or irregular hours and adherence to security policies to safeguard information.

Responsibilities

The Reimbursement Coordinator will follow the reimbursement process to ensure timely and accurate payment for products and services, overseeing claims processing, payment posting, and follow-up activities. This includes obtaining billing information, submitting claims within timely filing periods, tracking pending claims, and researching claim payments. Responsibilities also involve performing collection follow-up on primary, secondary, and patient balances, preparing write-off forms for bad debt, and addressing discrepancies and resolving claim denials.

Skills

Medical billing

Claims processing

Payment posting

Collections

Insurance claims

Microsoft Word

Microsoft Excel

Home infusion billing

Durable medical equipment billing

IV field experience

Medical billing certification

WellSky

Healthcare software and community care solutions

About WellSky

WellSky offers software and services to improve health and community care, making it easier for providers and patients to access and navigate care. Its products, like the WellSky Value Based Care Suite, integrate with Electronic Health Record (EHR) systems to enhance care coordination. WellSky stands out by providing a comprehensive range of solutions, including strategic consulting and revenue cycle management, which help clients operate more efficiently. The company's goal is to enhance care delivery and improve individuals' quality of life through effective solutions.

Reston, VirginiaHeadquarters

1980Year Founded

$34.5MTotal Funding

DEBTCompany Stage

Social Impact, HealthcareIndustries

1,001-5,000Employees

Benefits

High deductible health plan with a generous employer contribution

PPO medical plan

Dental and vision insurance

401(k) plan with access to financial advisors who can provide personal financial guidance at no cost

Robust paid time off, including holidays, vacation, well-being, and volunteer days

Flexible spending accounts (medical and dependent)

Life and disability insurance

Educational assistance

Employee Assistance Plan with free and confidential emotional, financial, legal, and family resources

Risks

Integration challenges with acquisitions like Bonafide may cause operational inefficiencies.

Data privacy issues may arise from collaborations in the nonprofit sector.

Dependency on third-party systems increases exposure to partners' operational risks.

Differentiation

WellSky offers comprehensive solutions across the full continuum of care.

The company integrates with any EHR system to improve care coordination.

WellSky's services include strategic consulting, compliance, and revenue cycle management.

Upsides

Growing demand for integrated care solutions boosts WellSky's market potential.

Value-based care models align with WellSky's offerings, enhancing growth opportunities.

Acquisitions like TapCloud enhance patient engagement and reduce costs.

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