Reimbursement Coordinator

Summary
BrainScope is seeking a Reimbursement Coordinator to work in our corporate office. The ideal candidate will have a strong background in medical billing and reimbursement, with the skills necessary to support our current customers in claims and appeals filling. Responsibilities will include review, analysis, and research of denials and resubmission criteria to ensure that the customer gets paid. Team and research projects that will support sales, customer service and our customers will be a key job function. Tracking customer claims performance and building relationships are of the utmost importance.  The ability to engage customers face to face and deliver group presentations are critical. You will be interacting by phone and email with customers, doctors and insurance companies - the ability to conduct these discussions both verbally and in writing with a high degree of professionalism is critical.

  • Reports to Senior Director of Reimbursement and Payor Relations
  • Full Time, non-exempt position
  • Stock Option package and strong benefits

Job Description and Key Responsibilities

  • Interacts with physicians and billing groups regarding billing and documentation policies, procedures and regulations.
  • Reviews denials for coding lapses and suggests coding changes for corrective and preventive action
  • Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs
  • Obtains clarification of conflicting, ambiguous, or non-specific data.
  • Educates providers and staff on proper claims procedures
  • Identify key trends related to specific accounts including payers and customers
  • Customer service orientation to handle customer questions regarding charges, coding and billing
  • Detailed orientation to post data and adjustments in customer portal
  • Communicate in an articulate fashion via phone and email with customers
  • Performs other related duties as required

Position Requirements

  • Bachelor’s Degree (minimum)
  • Prior healthcare / coding and reimbursement background preferred
  • Basic understanding of claims filing and reimbursement process
  • Experience in working with insurance companies to resolve issues that prevent claims from processing
  • Comfortable working with software practice management systems
  • Experience with Microsoft Office (including Excel) and CRM systems (such as Salesforce)
  • Some travel may be required (<10% time)

Other Skills and Abilities        

  • Follows established departmental policies, procedures and objectives
  • Strong customer service skills
  • Punctual with excellent attendance record
  • Driven and self-disciplined
  • Organized and a logical thinker
  • Great verbal and written communicator
  • Detail oriented
  • Ability to work independently and collaboratively within a team environment
  • Able to multi-task and meet tight deadlines; able to function in fast-paced environment
  • Excellent problem-solving skills
  • Able to meet daily and monthly accountability standards
  • Ambitious/ positive attitude
 
 

Qualified applicants are encouraged to send their resume and a cover letter including availability to recruiting@brainscope.com. 


 

The Office of Federal Contract Compliance Programs (OFCCP) has released a Voluntary Self-Identification Form CC-305. All federal contractors are required to use this form in inviting all applicants and employees to provide information regarding their disability status. Completing this form is voluntary and any answer you give will be kept private and will not be used against you in any way. If you choose to complete the form, please attach it with your job application. The form can be found at http://www.dol.gov/ofccp/regs/compliance/sec503/Voluntary_Self-Identification_of_Disability_CC-305_SD_Edit1.24.14.pdf