Reimbursement Representative
U.S. Renal Care, Inc.


Job Info


U.S. Renal Care is seeking a Reimbursement Representative for our dialysis facilities. The Reimbursement Representatives role is to file insurance claims and collect on accounts assigned in a timely and accurate manner.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

  • Reviews EOB/EOMB's for proper reimbursement.
  • Responsible for all collection activities on identified accounts.
  • Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
  • Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
  • Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
  • Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
  • Performs claim appeals as required.
  • Assists with credit balance resolution.
  • Completes re-bill request as necessary to facilitate timely and proper claims payment.
  • Follows up on unresolved account balances including RTP's.
  • Prepares adjustment and write-off requests as necessary.
  • Performs other duties and responsibilities as required or assigned.
  • Monitors all contracts and single patient agreements to ensure that appropriate reimbursement is received.

EDUCATION and/or EXPERIENCE:
• High School diploma or GED required.
• Minimum of two years experience in health/medical billing and collections.

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran

Additional Information



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