Job Description

A large Hospital in the San Diego area is looking for a remote Billing and Reimbursement Specialist to join their team to support an upcoming project. The Reimbursement Specialist is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the Reimbursement Specialist to make sure that the claims are clean and delivery tickets are accurate. Additionally this individual is responsible for inputting data into the systems, manually uploading claims, following up with AR and the payer to confirm receipt. Lastly if the claim is denied, the individual is responsible for resolving the issue themselves. This position is a 3 month contract with possible extension M-F 8:00am-4:30pm and can be done in a hybrid or remote setting. Equipment will be provided.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

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Skills and Requirements

3 years of experience in home care pharmacy billing preferably in Commercial

Experience with HMO, PPO, capitated payers, Medicaid managed care payers

Experience with 340B guidelines and reg, factor drug billing, compound drug, TPN

Microsoft, outlook, teams, excel, word Experience with CPR+ null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.