Reimbursement Counselor

Our client in Charlotte, NC is looking for Reimbursement Counselor's to fill several vacancy in their large call-center customer service environment. The length of the position will be 5-months and will pay $16/hr. There is possible overtime in this role (with overtime pay).  Training will be 8:30a-5:30pm, Monday-Friday. After training, shift will be 9a-6p  Benefits while temporary include: A Kelly Service Representative who is dedicated and assigned specifically to your client site to help you network for additional opportunities; Medical/Dental/Vision coverage options through Kelly Services; Weekly compensation (paycheck) Typical Job Duties include (but are not limited to): Thorough understanding of eligibility, benefits, governance and funding of most health care payers from large national programs to small community programs. Thorough understanding of Medicare coverage and benefits Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved. Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program. Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications. Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors. Researches and resolves any electronic claim denials. Researches and resolves any claim denials or underpayment of claims. Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods. Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers. Reports any reimbursement trends/delays to supervisor e.g. billing denials, claim denials, pricing errors, payments, etc. Processes any necessary insurance/patient correspondence.   Job and Education Requirements: High School Diploma or GED required (please have documentation) 2-3 years of experience in a medical or pharmacy reimbursement environment Ability to communicate effectively both orally and in writing Strong organizational skills; attention to detail General knowledge of accounting principles, pharmacy operations, and medical claims. General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred. Global understanding of commercial and government payers preferred. If interested in the position, please apply online at Kellyservices.com or on the Career Network for Kelly Services. You can also find this job posting on CareerBuilder. If you have any questions, please email the National Corporate Recruiter, Jamie Miller, at jamie_miller@kellyservices.com. This position is not handled through the local branch, but handled through a remote-Recruiter. We look forward to hearing from you.   Why Kelly®?At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. About Kelly Services® As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter. Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.]]