Reimbursement Services Director - Home Care jobs in Maine

Medical Reimbursement Services was established in 1989, we are a billing and collection service specializing exclusively in ambulance billing. We service about 60 ambulance providers across the state of Maine. Our employees have over 100 combined years of experience in the medical billing field and 90% of our employees are Certified Ambulance Coders (“CAC”) by the National Academy of Ambulance Coding (NAAC). Our goal is to help EMS providers maximize their revenue with regards to EMS billing.

MRS is actively seeking a qualified individual to join our team full time Monday through Friday from 8am to 4pm. The ideal candidate will be dependable, organized, detail oriented and a team player. MRS offers yearly bonuses along with company profit sharing to encourage a long term and reliable employer-employee relationship.

Ambulance billing experience not necessary, will train the right person. Pay can be negotiated based on previous billing and AR experience!

Position requirements:

• High School graduate or higher
• 1-2 years previous medical billing and coding preferably in the EMS industry
• Knowledge of HCPCS, ICD-10 CM, medical terminology and HIPAA regulations
• Experience with Microsoft Office (Excel, Word, Outlook), accessing insurance portals, dual monitor workspace
• Multitasker with strong attention to detail with the ability to troubleshoot and problem solve
• Excellent and professional customer service
• Ability to work independently and as a team
• Familiar with Medicare/CMS and Medicaid and commercial insurance billing
• Strong written and verbal communication skills (ability to handle challenging situations calmly and professionally
• Knowledge of accounts receivable principles and procedures along with basic math skills

Essential duties and responsibilities:

• Access the Maine State EMS reporting website to review billable runs and prepare for importing into our billing software ESO
• Verify patient demographics, insurance information and completion of required signatures
• Accurately code ambulance claims and prepare them for clean claim submission both electronically and by paper
• Post weekly deposits of paper checks and client deposits
• Follow up on unpaid claims within a standard billing cycle
• Research and appeal denied claims
• Answer all patient, insurance and provider inquiries in a timely manner
• Respond to medical records requests
• Prepare and monitor monthly collections lists
• Accurately document all claims communications and maintain all supporting documentation associated with a claim
• Communicate with patients and appropriate individuals to resolve issues related to claim payments
• Maintain a professional relationship with co-workers, account contacts and patients
• Maintain strict confidentiality
• Produce monthly reports for assigned providers
• Other duties as assigned

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

Ability to commute/relocate:

• Windham, ME 04062: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Preferred)

Work Location: In person