Claims Reimbursement Specialist
MANA Medical Associates of Northwest Arkansas
Claims Reimbursement Specialist
- ID
- 2026-2314
- Category
- Billing/Reimbursement
- Position Type
- Regular Full-Time
- Location/Org Data : Name
- MANA Administration
Overview
The Claims Reimbursement Representative is responsible for researching and resolving insurance billing issues at the time of claims submission, upon receipt of denial or non contracted payment, and refund requests assigned to specific insurance(s) and providers/specialties. Interact daily including but not limited to insurance companies, clinics, other CBO departments and MANA administration.
This position is primarily remote. However, the role requires occasional on-site presence.
Responsibilities:
- Ensure insurance is set up correctly in the patient's account in ECW
- Respond appropriately to insurance companies' requests for information in a prompt and professional manner.
- Initiate adjustments to accounts promptly upon receipt of explanation of benefits.
- Demonstrate a thorough knowledge of CPT and ICD coding guidelines, as well as individual insurance carrier policies. Keep up to date on all changes in these areas.
- Follow-up on all claim denials and exercise all available options to obtain claim reimbursement. Submit corrected claims promptly.
Qualifications:
- Equivalent to four years high school or GED
- 12 to 18 months related experience and/or training, or equivalent combination of education and experience
- Experience with Medicare and Medicare Advantage billing and coding guidelines, Availity, NCD and NCCI edits
About MANA Administration
The MANA Administrative team provides support services for 27 physician-owned medical practices in Northwest Arkansas. We are an independent, physician owned group established in 1999 to responsibly manage the costs associated with health care, improve our practice efficiencies, and enhance overall care for our patients. Our administrative team includes Human Resources, Physician Services, Information Systems, Population Health, Accounting, Reimbursement, Compliance, Communications, Billing Services, and more! We all work together to help our physicians and clinics provide compassionate, comprehensive, quality health care. We support each other, often working on projects together, and maintain a healthy work-life balance.
About MANA
Medical Associates of Northwest Arkansas (MANA) is an independent, physician-owned healthcare organization offering family medicine, pediatrics, women’s health, and a wide range of specialty and advanced services. As a physician-owned practice, MANA prioritizes compassionate, high-quality patient care while maintaining a personal, patient-centered clinic environment. Our team works together to manage healthcare efficiently, support excellent patient outcomes, and provide comprehensive care. Our mission is to improve the quality of life by providing compassionate, comprehensive, quality healthcare.
Benefits We Offer:
At MANA, you will receive more than just pay. We offer various benefits that matter most to you. MANA team members are eligible to receive benefits. Below are some of our various benefit offerings:
Comprehensive Benefits –
-Medical Insurance
-Vision Insurance
-Dental Insurance
-HSA or FSA options with medical insurance
-Voluntary Aflac Accident and Critical Illness
-Employer paid life, long-term & short-term disability benefits
-401(K) match and profit sharing
-Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
-Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, UARK Federal Credit Union, and many more!
- One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics
Medical Associates of Northwest Arkansas (MANA) is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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