JOB SUMMARY

• The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities and collections for assigned payers.

1. Education/Regulatory Requirements:
   • Associate’s degree preferred.
   • An equivalent combination of professional experience and education may be considered as meeting the Education / Professional requirements.
2. Skills:
   • One-year previous Home Health billing related experience preferred.
   • Specific working knowledge of personal computer, medical terminology, healthcare insurance, billing/collections, and government regulations for Medicaid and Medicare.
   • Medicaid processing experience and skilled in problem solving preferred.
3. Professional Requirements:
   • Requires excellent interpersonal skills.
   • Experience working with social service agencies and other healthcare providers.
   • Requires excellent oral and written communication skills, as well as experienced in negotiations.
   • Ability to use independent judgment; works effectively with little or no direction.
   • Able to work effectively within deadlines, demonstrates strong organizational skills.