Reimbursement Specialist

Job Description

Objective:

The Reimbursement Specialist will be expected to follow up on open claims and maintain patient information. The individual will also process denials and appeals to assure collections.

Key Functions:

• Work claims and claim denials to ensure maximum reimbursement for services provided via insurance portals and/or phone calls
• Prepare appeals and follow up on claims
• Collections and payment posting
• Analyze and correct any billing errors such as HCPC, diagnosis, modifiers, etc.
• Develop and maintain relationships with insurance companies and other third party payers
• Work closely with patients to address payment questions and resolve collection issues
• Work closely with management and field sales force as needed
  
  

Competencies :

• Detail orientated and dependable
• Excellent patient communication and customer service skills
• Knowledge of governmental regulations, including HIPAA, OSHA, and other compliance programs
• Ability to be firm and aggressive with third party payers to secure pre-certs and collect cash
  
  

Qualifications:

• Minimum of 2 years experience in medical billing and collecting
• DME experience is preferred
  
  

Company Description

Synergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products focused on serving Patients and Physicians in the PA, NJ, DE, MD and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.

Synergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products focused on serving Patients and Physicians in the PA, NJ, DE, MD and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.