Reimbursement Representative

U.S. Renal Care

Plano, TX, US
On-site
Review eob/eomb for proper reimbursement
Resolve electronic claim rejections
Research insurance correspondence
U.S. Renal Care is seeking a Reimbursement Representative for its Plano, TX location, tasked with managing Medicare and commercial patient balances as well as resolving claims issues. The role emphasizes a commitment to diversity and inclusion, fostering a supportive workplace culture

Job Summary

  • The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances.
  • The role involves resolving electronic claim rejections and Explanation of Benefits denials in a timely manner.
  • US Renal Care values a diverse workforce and believes in recruiting top talent to create an inclusive culture.

Matching Summary

Match Score: 85

U.S. Renal Care is seeking a Reimbursement Representative for its Plano, TX location, tasked with managing Medicare and commercial patient balances as well as resolving claims issues. The role emphasizes a commitment to diversity and inclusion, fostering a supportive workplace culture.

Skills & Requirements

Must-have

  • Review EOB/EOMB for proper reimbursement
  • Resolve electronic claim rejections
  • Research insurance correspondence
  • Follow up on unpaid account balances
  • Perform claim appeals

Nice-to-have

  • Diverse and inclusive work climate
  • Timely resolution of denials
  • Strong communication with payors

Key Requirements

  • Experience with Medicare and Commercial payors
  • Knowledge of claims payment procedures
  • Ability to work with A/R aging reports

Work Rights

Not specified

Tailored Resume

Cover Letter