Jobs › Companies › Alternate Solutions Health Network › Reimbursement Specialist II

About this Reimbursement Specialist II role at Alternate Solutions Health Network

Alternate Solutions Health Network · Hybrid · Kettering, OH

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.               

Schedule: Monday - Friday, 8:15am - 5:00pm in our office in Kettering OH
 

Location: In-office at our Kettering, OH location | Hybrid Model available based on productivity

The Reimbursement Specialist is responsible for all collection aspects for assigned payors and confirms eligibility for payor types. The Reimbursement Specialist ensures prompt payments and claim processing. Functions of this role performed timely and accurately, affect patient satisfaction, and quality outcomes. The Reimbursement Specialist complies with all legal, Medicaid & private insurance and company rules and regulations.


Responsibilities:
• Collects and follows up on accounts for payment in full
• Sends all electronic and paper claim resubmissions or correct claims
• Makes recommendations to the Controller regarding difficult payors with regards to prompt payments, claims processing, and recognition of denial trends.
• Assists clients, their families and co-workers in understanding billing procedures and payment
• Corrects claims and rebills for payment
• Communicates with employees, clients and vendors in regards to services
• Proactively addresses billing challenges
• Understands and practices agency policies and procedures
• Continually improves practices
• Follows all legal rules and regulations
• Attends in-services, educational programs and meetings as necessary
• Other duties as assigned


Qualifications:

• High school diploma or equivalent.
• An Associate’s degree or equivalent experience required.
• Billing and Health Care experience is required
• Excellent oral and written communication skills.
• Proficiency in Microsoft Excel, Word, and Outlook.
• Detail oriented with ability to manage multiple responsibilities and ability to prioritize responsibilities. Demonstrate critical thinking and problem solving.

Kettering, OH

#INDASHN3

We’ll help you put your passion for patient care to work.  Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.

Ready to apply to Alternate Solutions Health Network?
Apply to Alternate Solutions Health Network

About Alternate Solutions Health Network

ASHN will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact [email protected] to validate the request Alternate Solutions Health Network collaborates with health systems in joint venture partnerships to create a post-acute care solution to deliver efficient centralized operations that is patient focused. Our company has been dedicated, since the very beginning, to transforming the quality of care for our team and our patients.

See all jobs at Alternate Solutions Health Network →

Similar jobs

Alternate Solutions Health Network
Physical Therapist
Alternate Solutions Health Network
⚡ Apply early Akron, OH Onsite
● New 👁 Seen ✓ Applied 2d ago
Alternate Solutions Health Network
Hospice RN Case Manager
Alternate Solutions Health Network
⚡ Apply early Lafayette, IN Onsite
● New 👁 Seen ✓ Applied 2d ago
Alternate Solutions Health Network
Registered Nurse (RN) Hospital Liaison
Alternate Solutions Health Network
⚡ Apply early Indianapolis, IN Onsite
● New 👁 Seen ✓ Applied 2d ago
Alternate Solutions Health Network
Clinical Manager, Hospice
Alternate Solutions Health Network
⚡ Apply early Detroit, MI Onsite
● New 👁 Seen ✓ Applied 2d ago
Alternate Solutions Health Network
Occupational Therapy Assistant
Alternate Solutions Health Network
⚡ Apply early Cleveland, OH Onsite
● New 👁 Seen ✓ Applied 3d ago
Alternate Solutions Health Network
Records Collection Specialist II
Alternate Solutions Health Network
⚡ Apply early Corporate Hybrid $41,600–$41,600
● New 👁 Seen ✓ Applied 3d ago
Alternate Solutions Health Network
Supervisor, Technical Support Specialist
Alternate Solutions Health Network
⚡ Apply early Kettering, OH Onsite
● New 👁 Seen ✓ Applied 3d ago
Alternate Solutions Health Network
Registered Nurse (RN) Case Manager
Alternate Solutions Health Network
⚡ Apply early Detroit, MI Onsite
● New 👁 Seen ✓ Applied 3d ago
Alternate Solutions Health Network
Physical Therapy Assistant
Alternate Solutions Health Network
⚡ Apply early Akron, OH Onsite
● New 👁 Seen ✓ Applied 3d ago

Sign up for suggestions tailored to the jobs you open and the searches you save.

More jobs at Alternate Solutions Health Network

See all jobs at Alternate Solutions Health Network →

Apply now
🤖

Whoa — hold up

JobsRadar was built for real people having a rough time in their job search — not for automated requests. You're clicking way too fast and you're now temporarily blocked.

Come back later. If you're genuinely job hunting, we've got your back — just act like a human.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Get an edge on your job hunt.

Join our Telegram channel for the stuff that helps you land the role — salary benchmarks, the weekly market pulse, and new-feature drops. No spam, just signal.

Join the channel — it's free