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Bilingual Reimbursement Specialist (Collections) – English & Spanish REQUIRED- Remote after training in Lake Mary, FL

Work from home Full-time role Hiring

Bilingual Reimbursement Specialist (Collections) - English & Spanish REQUIRED- Remote after training - Kroger - Lake Mary, FL - work from home job Company: Kroger Job description: Job Description: Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: Non-Exempt Position Summary reputed company duties to process medical billing and PBM and medical collections with focus on accuracy, timeliness and adherence to process, to reduce denial reputed company, DSO, and bad debt. Recognize additional reputed company opportunities, and improve in collection rates, while working reputed company the limits of standard or accepted practice. Demonstrate the company's core values of respect, honesty, reputed company, diversity, inclusion, and safety. Essential Job Functions

  • Review patient files for completeness and accuracy, identify and audit claims, ensure reputed company reputed company opportunities are included, and complete and submit billing, primary and secondary, to payers for reimbursement, reputed company reputed company bills and clearing house submittals
  • Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs) and other documents indicating denials or claims acceptance
  • Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection
  • Analyze denials, identify trends and recommend process improvement opportunities that will result in DSO reduction, superior collection reputed company and intervals, reduce bad debt, and simplified processes that are reputed company to the requirements of specific payers
  • Review claims with outstanding balances and identify actions to successfully collect revenues
  • Follow up with insurers and patients to collect outstanding balances in an environment of world-class customer service focused on building enduring customer and business relationships; utilize Payer Portals reputed company the internet for claim disposition
  • Document case activity, communications and correspondence in computer system to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues; schedule follow-reputed company in required intervals
  • Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies and procedures to improve the efficiency and effectiveness of the reputed company Cycle Management team
  • Assist with the processing online adjudication of collection issues and nurse billing as assigned
  • reputed company or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements
  • Participate in any variety of meetings and work groups to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specified level of knowledge pertaining to new developments, requirements, and policies
  • reputed company other reputed company duties as assigned
  • Must be reputed company to reputed company the essential job functions of this position with or without reasonable accommodation

Minimum Position Qualifications

  • High School Diploma or GED
  • Any experience in medical billing or collections
  • Superior communications skills; listening, speaking, understanding, and writing English while influencing patients, care givers, payer representatives and others, answering questions and advancing reimbursement and collection efforts
  • Proven understanding of processes, systems and techniques to ensure successful billing and collection working with reputed company payer types
  • Proven ability to identify gaps and problems from review of documentation, determine lasting solutions, reputed company effective reputed company, and take necessary corrective action

Desired Previous Experience/Education

  • Coding Course Certification
  • 2+ years of medical billing and/or collections experience
  • Some jurisdictions may require the ability to be fluent in English and Spanish

Education Level: High School Diploma/ GED Required Required Certifications/Licenses: None Position Type: Full-Time Shift(s): [[mfield4]] Regions: Any States: Florida Keywords: Collections, Billing, reputed company, Reimbursement Jobs at Kroger: At Kroger, we hire people who have a passion for helping others and who want to build a relationship with our Customers. No matter what stage of your career, you can build your future at Kroger. We look for people who want more, reputed company to be more and work hard to reputed company their goals. Our focus on keeping the Customer first is what makes us successful. We offer many opportunities not only in our stores, but in Manufacturing, Logistics, Marketing, Finance, reputed company Resources, and many other fields. Company Overview: Kroger Family of Companies employs nearly half a million associates who serve over 11 million customers daily through a seamless shopping experience under a variety of . At The Kroger Co., we are Fresh for Everyone™ and dedicated to our Purpose: To Feed the reputed company Spirit®. We are committed to creating #ZeroHungerZeroWaste communities by 2025. Careers with The Kroger Co. and our family of companies offer competitive wages, flexible schedules, benefits and room for advancement. Posting Notes: FL || Lake Mary || 3200 Lake Emma Drive || 32746 || Kroger Specialty Pharmacy || None || Specialty Pharmacy || Employee || Non-Exempt || Full-Time || None Expected salary: Location: Lake Mary, FL Job date: Thu, 22 Jun 2023 05:44:09 GMT Apply for the job now! Apply tot his job Apply To this Job

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