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Reimbursement Specialist-Nemours Home Office
This position is responsible for effective follow up on accounts / invoices for assigned Payors resulting in payment or final adjustment. Proficiency in assigned Payors billing and payment guidelines is required, to ensure the departmental collection goals are met or exceeded as Work accounts / invoices until all charges are paid or denied by the insurance carrier. Process insurance / patient correspondence, deductibles, medical records request, non-covered services, adjustments and appeals. Process request for adjustments, account type changes, guarantor merges, and transfers when necessary, according to enterprise guidelines. Accurately enter patient demographics, guarantor and coverage information into Epic system. Acc
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