Coordenador de Reembolso - Saúde Domiciliar

The   Reimbursement Coordinator   is responsible for   following the reimbursement process to ensure   timely   and   accurate   payment for products and services provided to patients on behalf of WellSky clients. The scope of this job includes overseeing claims processing, payment posting and follow-up activities, along with addressing discrepancies and resolving claims denials.      We invite you to apply today and join us in shaping the future of healthcare!     Key Responsibilities   • Obtain billing information from clients to generate claims, perform QA of charges, and make modifications or changes as   required   to produce a clean claim.   • Submit claims to insurance companies within the individual insurance company's   timely   filing period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primary   payer , and track pending claims.   • Utilize reports to   determine   tasks that require follow up and obtain   claim's   status by calling the payer and/or using an online claims status system.   • Research claim payments, partial   payments   and over-payments, and take   appropriate action   for escalating claims not paid within   60 days   or for denied appeals.   • Perform   collection   follow up actions on primary and secondary claims as well as patient balances as assigned.   • Prepare write-off forms when   bad debt   is   identified   and document description of the reason for each write-off.   • Perform other job duties as assigned.       Required qualifications   • GED or High School Diploma   • At least 1-2 years of relevant work experience   • Home Health billing/reimbursement experience   • Experience in EPIC EMR     Preferred qualifications   • Hospice or Palliative Care experience       Job Expectations     • Willing to work   additional   or irregular hours as needed   • Must work   in accordance with   applicable security policies and procedures to safeguard company and client information   • Must be able to sit and view a computer screen for extended periods of time     #LI-CS1   #LI-Remote   WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.   Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.   Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: • Excellent medical with Rx, dental, and vision benefits • Mental Health support through EAP • Generous paid time off, plus 13 paid holidays • 100% vested 401(K) retirement plans • Educational assistance up to $2500 per year