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Synchrony PharmacyPosted 25 months ago

Rehab AR Specialist

On-siteLouisville, Kentucky, United States

Full TimeHigh School Or EquivalentMedium

Job Summary

Review and verify patient demographics and insurance information using NetHealth or similar EMR systems. Process billing transactions for rehabilitation services including physical, occupational, and speech therapy. Generate and submit insurance claims accurately while validating denial reasons such as missing information or coding errors. Contact insurance carriers via phone or portals to check status and discuss paths to payment. Collaborate with providers and patients to ensure accurate reimbursement and prepare formal appeals for reconsideration. Maintain confidentiality by adhering to HIPAA guidelines and follow up on unpaid claims to ensure timely payment.

Required Qualifications

  • High School / GED
  • 1-3 years of experience
  • Travel: Yes: Minimally, as required (Typically less than 10%)

Desired Qualifications

  • experience using NetHealth or similar electronic medical record (EMR) systems for monthly billing
  • experience working within a clearing house system (Waystar) for denial management and rejection status
  • ability to work effectively in a fast-paced environment
  • attention to detail
  • strong organizational skills

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