Mediware Reimbursement Coordinator in Andover, Massachusetts

Job Description:

Are you interested in changing the world of healthcare and human services? Do you want to work with innovative web and mobile software applications with great impact on society? Can you provide smart ideas and experiments about what’s possible? Do you work hard to help others to achieve their best results? Do you want to be amazed, inspired and proud of your job every day? Come and show us what you’re made of.

Mediware Information Systems, Inc. is a fast growing Top 100 Healthcare Software company. We design and build products that are inspiring and make a real impact in people’s lives. We have 600+ employees across the US, UK and Netherlands. Mediware’s portfolio of solutions currently includes long-term services and supports, behavioral health, blood solutions, cellular therapy, home care, medication management, rehabilitation and respiratory therapy.

Are you someone who runs on high intellectual horsepower? Looking for a career that will stimulate your analytical thinking? The individuals who excel in this role are highly ambitious, results driven, and willing to "think outside the box". This position requires a high level of professional customer service, attention to detail, and the ability to work well as part of a fast paced team. The ideal candidate for this position has a high level of multitasking abilities and is driven by moving metrics to achieve success!

As aReimbursement Coordinator, you will generate medical home infusion and / or durable medical claims submissions to patients and/or third party payers (commercial insurance and federal/state government sponsored programs). These claims result from products and services administered to patients from our customers. Perform collection follow up on primary and secondary claims as well as self-pay letters. Request write-offs to Billing Center Manager if an uncollectible amount is identified.

Principal duties and responsibilities:

  • Obtain billing information from our Customers on a daily or weekly basis (depending on the frequency of the data transfers) to generate claims

  • Perform Q.A. of charges received from the Customers

  • Track claims that are pending due to missing or incomplete documentation (ie: CMN, RX, authorization, etc.)

  • Mail claims to insurance companies in a timely fashion and within the individual insurance company’s timely filing period

  • Create secondary claims and or self-pay letters upon receipt of a primary insurance payment or denial

  • Perform routine follow-up calls to insurance company to determine the status of claims that are not paid within 30 days or within the normal claim processing time frame for a payor

  • Perform collection calls on outstanding accounts and prepares a write-off form with a description of the reason for the write-off when bad debt is identified

Job Qualifications:

Job Qualifications:

  • High School diploma required, Medical Billing Certification or some college education is a plus

  • A minimum of 2 years healthcare billing and/or collection or healthcare insurance claims processing experience. IV field experience a plus

  • Data entry experience, computer skills, Microsoft Office, Word, and spreadsheets desirable

  • Must have good attention to detail and accuracy

  • Strong organizational skills and the ability to follow through

  • Good problem solving skills

  • Math aptitude

  • Ability to deal with the public in a professional manner

  • Good verbal and written communication skills

  • Exhibit excellent work ethic and commitment to job responsibilities

We're looking for talented individuals who want to use their skills to build a strong, technology-driven company. We offer competitive salaries, great benefits, and a casual and fun environment that encourages quality, creativity and excellence. Enjoy all we have to offer. We invite you to join us. Apply today!

Mediware provides equal employment opportunities to all people without regard to race, color, religion, sex, national origin, ancestry, marital status, veteran status, age, disability, sexual orientation or gender identity or expression or any other legally protected category.

Job Title: Reimbursement Coordinator

Location: Andover, MA

Full/Part Time: Full

Req: 16-815

Department: Client Services