Claims Reimbursement Specialst - Business Office, CareResource Hawaii (Full Time, 40, Day)

RESPONSIBILITIES

Effective Date:

02/24 I.

JOB SUMMARY/RESPONSIBILITIES

• Under the general direction of the Business Services Manager, responsible for submitting bills, collecting monies, and ensuring authorization due for services rendered. • Performs various duties including data entry, word processing, creating, and maintaining files, assembling, and distributing required material data for reports and projects.

II. TYPICAL PHYSICAL DEMANDS

• Sitting, finger dexterity, seeing, hearing, speaking. •

Constant:

reaching above, at and below shoulders; repetitive arm/hand motion and frequent gripping of objects. •

Frequent:

standing, walking, stooping/bending, and twisting body. •

Infrequent:

lifting, pushing, and carrying items up to 15 pounds.

III. TYPICAL WORKING CONDITIONS

• Not subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS

A.

EDUCATION/CERTIFICATION AND LICENSURE

• High school diploma or equivalent. • Associates degree in business or two (2) years of billing and collection work experience may be substituted for a degree.

B. EXPERIENCE

• Experience in a healthcare environment. • Experience to demonstrate the following: o Ability to use Microsoft Office, Outlook, and Excel and Word. o Ability to communicate effectively English, both orally and in writing. o Ability to operate office equipment including computer. o Familiarity with Homecare Homebase and/or similar home care software. o Familiarity with medical terminology (CPT, ICD-10, HCPC). Equal Opportunity Employer/Disability/Vet