Reinsurance Specialist performs routine reinsurance administrative duties, such as maintaining records, processing and verifying new business. Organizes the preparation of monthly and annual reports and ensures reinsurance information has been recorded accurately. Being a Reinsurance Specialist performs reconciliation of premium billing statements and DAC tax calculations and maintenance of various reinsurance operations. Researches and resolves the more complex cases and provides guidance to others. Additionally, Reinsurance Specialist may review work performed by others and train new staff. Works towards industry designations (e.g., FLMI, ARA, ACS, etc.). Requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Reinsurance Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reinsurance Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
JOB SUMMARY
MD Billing Specialists, LLC is growing and we’re looking to add to our team! This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. Other duties include providing general operations assistance and/or patient service tasks specific to the scope of the department. The ideal candidate is a team player with a passion for revenue cycle.
RESPONSIBILITIES & DUTIES
Contributes to a positive work environment and to a dynamic team focused on work unit that actively helps one another to achieve optimal department results.
Collaborates with all members of the health care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner.
· Hands-on knowledge of Microsoft Office Suite (Outlook, Teams, and SharePoint)
· Process and/or supervise coding and modifiers for all charge/claims
· Review claims performance (turnover, denials, etc.) for company/customer
metrics/goals.
· Collaborate with cross functional teams to ensure data quality and consistency
· Coordinate and communicate with customers
QUALIFICATIONS & SKILLS
· 5 years of medical billing and coding related experience. This includes facility/hospital billing and specialty billing. (SNF, Cardiovascular, LTACH, etc.)
· 2 years supervisory or team lead experience
· Excellent verbal and written communication skills
Knowledge of payer reimbursement methodologies
Proficient and comfortable working with large sets of data
Knowledge of industry regulations related to contracting, negotiation techniques including knowledge of TDI and HHSC rules and regulations as they apply to the STAR & CHIP programs.
Knowledge of commercial and government payers.
· Possess knowledge of billing software(s) for example eClinical Works, Waystar, etc.
· Ability to communicate and work effectively in a team environment
EDUCATION
· Associates Degree minimum required
In lieu of degree, an additional four (4) years of related work experience is required
· Medical Billing Certificate a bonus
· CPC, CCA, or CCS certification Required!!!
LOCATION: Remote; If in Lubbock, position will be on-site with the possibility of hybrid
Education:
· Associate (Preferred)
Experience:
· Medical billing: 4 years (Preferred)
· Related work: 4 years (Preferred)
License/Certification:
· Medical Billing Certification (Preferred)
· CPC,CCA or CCS A must! (Preferred)
· ICD-10: 3 years (Preferred)
Job Type: Full-time
Pay: $55,000.00 - $60,000.00 per year
Benefits:
Experience level:
Schedule:
Work setting:
Work Location: In person