Reimbursement Advocate I

Reimbursement Advocate will work with Medicare, Medicaid, and Commercial Insurance companies to ensure medical claims are submitted timely, processed, and paid accurately.

Requirements

• Collect payments for outstanding open accounts receivable balances.
• Works with Medicare, Medicaid, Commercial Insurance, and Private Pay to ensure medical claims are being processed timely and paid accurately.
• Must meet/exceed daily/weekly production & quality KPI standards.
• Ensures all billing systems are updated timely with patient demographics, payer information, and notated appropriately.
• Analyzes payer claim rejections & denials to help determine root cause and prevention of future rejections & denials from reoccurring.
• Gathers, prepares, and submits required information and/or documentation to appeal claim denials.
• Uses appropriate write off reason code(s) for writing off balances that are deemed uncollectable.
• Responsible for assisting our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible.
• Ensures the billing of all claims via electronic or paper to Medicare, Medicaid, and Commercial Insurance payers are being submitted accurately and timely in accordance with Inogen's policy.
• Ensures RUL(Reasonable Usable Lifetime) patients exiting the monthly cap period are in a billable status.
• Responsible for working NME’s (New Medicare Eligibility), Payor Changes, Pending Pick-ups, and Stop patients timely.
• Verifies and evaluates insurance benefits to determine the policy's compatibility with Inogen's services.
• Ensures the timely procurement of all required documentation and obtain authorizations in order to prevent future denials.
• Ensures that appropriate medical records are maintained according to HIPPA guidelines.
• Ensures Inogen's compliance with all state and federal regulations.
• Maintain regular and punctual attendance.
• Comply with all company policies and procedures.
• Assist with any other duties as assigned.

Benefits

• Paid time off
• Health insurance
• Retirement plan