Reimbursement Specialist

Submits timely, accurate invoices to payer for products and services provided, understanding the terms and fee schedule for all contracts. Correctly determines quantities and prices for drugs billed and verifies services and products are correctly authorized with required documentation on file. Ensures invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Follows up on invoices submitted to ensure prompt and timely payment, calling to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame, generates and mails statements and collections letters. Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.