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Billing & Reimbursement Specialist

LifeScape

Sioux Falls, SD 57105

Posted/Updated: Today

Job Description

* NOT a REMOTE Position - Office Setting/Onsite *
* Independent Work *
*Insurance * * Numerics * Deadlines *

Do you want to make a difference, without directly supporting people? You can support the Mission at LifeScape by utilizing your skills in computers, software programs, and billing experience! The schedule for this position is Monday through Friday, giving you more time to spend with your family and friends! Come and join this wonderful team and start your career at LifeScape today!

The Billing & Reimbursement Specialist position processes third party claim submissions and follows-up on accounts regarding billing. This position provides support to the overall operations within the Billing Department to ensure that timely billing and collections for services are completed.

Here are some of the job duties that come with this position:

  • Verifies Insurance and completes predetermination for services. Obtains Prior Authorization and Manage Care Referrals as necessary
  • Reviews all patient/customer referrals to determine if payment source/preauthorization data is adequate and correct
  • Generates bills and statements, assuring timely filing of insurance claims
  • Provides follow-up on patient accounts; prepares patient billings, or insurance re-bills, as necessary
  • Monitors A/R charge submissions and conducts collections activity
  • Prepares and enters patient/customer charges
  • Serves as a resource to patients, family members, management and staff on payor and governmental compliance issues
  • Responds to questions and resolves issues related to:
    • Patient/customer insurance claims
    • Part C reimbursement
    • Title XIX payments
    • Routing charges
    • Financial procedures

If these daily tasks sound like something you would enjoy, feel fulfilled by, and be good at, then please apply for this opportunity today! 

We look forward to meeting you!

 LifeScape is a qualifying employer under the Public Service Loan Forgiveness Program

 


Why Work for Us?

We are Driven by our Mission

Empowering people to live their best life.

We Have a Vision for our Future

LifeScape will be an innovative organization, providing exceptional services and creative solutions for people with varied needs and complex care across their life span. Through collaborative partnerships, LifeScape will become a destination for research, and the development, implementation and training of technology-based solutions to improve the lives of people we support.

We Lead with Shared Values

Integrity - Compassion - Respect - Safety & Wellbeing - Fiscal Responsibility - Excellence - Accountability 

Job Requirements
A High School degree/GED is required. Any post-secondary accounting education or prior insurance billing and reimbursement experience is preferred. Knowledge and/or experience with the services provided by LifeScape or similar organization is required.

Note: Job postings are not exhaustive lists of all skills, responsibilities, or efforts associated with a job. They reflect principle job elements essential for performing the job and evaluating performance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

LifeScape is an Affirmative Action & Equal Opportunity Employer of females, minorities, individuals with disabilities and protected veterans. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color, or any other protected class.
LifeScape
Joni Tokheim
,
605-444-9545

 

Benefit Package Includes: Competitive wages,  Flexible work schedules,  Dental insurance,  Health insurance, Vision Insurance,  Life insurance,  Short/Long term disability,  Paid holidays,  Accrued leave,  Retirement / Matching 401K