Kelly Services Reimbursement Counselor in Frisco, Texas
Kelly Services is currently recruiting for Reimbursement Counselor for our client, a leading pharmacy benefits management company in Frisco, TX. This is a 3 month temp-to-hire opportunity and pays $17.00 per hour.
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.
Duties and Responsibilities:
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 and electronic claims to process in a timely manner as required by all third party payers. Researches and resolves any electronic claim denials and any claim denials or underpayment of claims. Reports any reimbursement trends/delays to supervisor Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods. Maintains frequent phone contact with provider representatives, third party customer service representatives, pharmacy staff, and case managers. Processes any necessary insurance/patient correspondence.to expedite payments; including demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians. Coordinates with inter-departmental associates to obtain appropriate medical records as they relate to the reimbursement process. High level of confidentiality regarding patient account status and the financial affairs. Communicates effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims. Strong problem and analytical skills and exercises judgment within defined standard operating procedures to determine appropriate action.
Skills and Qualifications:
High School Diploma or Equivalent Excellent customer service and call center experience required Ability to communicate effectively both orally and in writing. Ability to build productive internal/external working relationships. Strong interpersonal, strong negotiating and mathematical skills. Strong organizational skills with attention to detail. General knowledge of accounting principles, pharmacy operations, and medical claims preferred General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred. Global understanding of commercial and government payers preferred. Must be proficient with Microsoft Excel, Outlook and Word.
Term of Assignment:
High School Diploma or equivalent 3-month temp-to-hire position, depending on performance and needs of the business. Training will be 8:30am-5:30pm;Shift will be 8:30a-5:30p and possible OT
Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. Please submit your resume to be considered for this position. If you have questions about the opening, you may contact the recruiter for this position at Lisa.Monsivais@kellyservices.com
Why Kelly®?At Kelly Services®, we work with the best. Our clients include 97 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.
As a workforce advocate for over 70 years, we are proud to have a role in managing employment opportunities for more than one million workers around the globe. We employ 550,000 of these individuals directly with the remaining workers engaged through our talent supply chain network of supplier partners. Revenue in 2015 was $5.5 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.]]
Category: Accounting/ Finance/ Insurance