Medical Reimburse Specialist - Muscle Shoals - job 636768

Alliance Healthcare Services, Inc.

Date: 02/23/2021

City: Muscle Shoals, Alabama

Employment type: Full-time

About Us


At Alliance HealthCare Services, our focus is on transforming the customer and patient experience. Vital to our success are the Corporate Team Members who collaborate with clinical, operational, and sales teams in the field. We focus on delivering improved processes, innovative new services, and business solutions that differentiate and advance our comprehensive clinical services—always with our patients' and customers' needs in mind.


Job Responsibilities


The Medical Reimbursement Specialist is responsible for the timely and accurate posting of EOB and other forms received through the lockbox to the Medical Billing system. Completes spreadsheets and balances work on a daily basis and resolves credit balances on the Medical Billing system via refund, takeback request or adjustment.


Specific duties include, but are not limited to:



  • Posts payments, adjustments, denials received through the lockbox daily with high accuracy.

  • Analyzes and resolves credit balances on Medical billing system. Prepares and processes refund requests and take-back requests.

  • Balances posting activity from Medical billing system, lockbox data and spreadsheets on a daily basis.

  • Calls the insurance carriers or uses the web to find out the status of the claim using the agings, ticklers and touch point reports as a guide. Researches EOB's that come in the mail with denials on them. Completes a spreadsheet weekly with any adjustments that need to be done and passed to Management. If there are credit balances all the EOB's have to be pulled and a check request form is given to Management for approval before a check is cut.

  • Accurately logs and posts Adjustment Requests and Price Discount Forms. Processes, logs and posts telephone credit card payments.


Position Requirements



  • High School Diploma or equivalent experience required.

  • Must be able to read and understand an Explanation of Benefits, use Excel or other spreadsheet programs and understand basic statistical/mathematical computations.


A division of Alliance HealthCare Services, we are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity &





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