Kforce Bilingual Reimbursement Specialist in San Antonio, Texas

Kforce has a client that is seeking a Bilingual Reimbursement Specialist in San Antonio, TX. The schedule for this role is Monday - Friday, 8am - 5pm, 9am - 6pm.Day to Day Responsibilities:

  • Will have daily interaction with patients explaining co-payments on their accounts

  • Will interact with insurance companies and staff to resolve any issues with reimbursement claims

  • Will read through claims, verify insurance coverage, and review authorizations

  • Flexible in communication

  • Will be dealing with elderly patients and must handle with compassion and patience

  • Maintain confidentiality of patient information

Daily Billing Process:

  • Print daily non-electronic claims DME equipment/supplies daily according to billing procedures

  • Mails out daily all non-electronic claims

  • Makes corrections and resubmits claims

  • Generate an electronic rejection report

  • Ensures completion of physician orders one generation from admission and maintains and tracks outgoing and incoming physician orders through patient's file

Completes the Collection Process:

  • Works on list of outstanding bills provided by Billing Manager

  • Checks reimbursement status of all claims<60 days' old

  • Determine reason if claim has not been paid

  • Make corrections to submit claim for reprocessing

  • Enters any adjustments and makes appropriate notes in patient chart

  • Posts all incoming reimbursements to appropriate files

  • Makes contact with payors when full/partial denials come in

  • High School diploma/GED

  • 1 year of Healthcare Billing experience

  • Must be "computer proficient" in Excel

  • Bright Tree Software experience is a plus, not a must

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:HoursMinimum Compensation:0.00Maximum Compensation:0.00