Billing/Payor Reimbursement Specialist
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About The Position
The position ensures efficient management of the claims processing cycle by accurate and timely claim submission, payor follow-up, and correspondence with providers including insurance inquiries. The employee is responsible for maintaining information and understanding of payers to ensure accurate collection of information and to ensure complete and accurate claims processing results in accurate payment received timely. A thorough knowledge of collections, billing, and payer contracts is required, along with the ability to read, interpret, implement, and follow all regulatory requirements and specific payor guidelines. Communication with all levels of the organization must be clear, concise, and timely. The ability to work independently and stay abreast of payer changes is critical. Successful candidates will produce results that ensure profitability by resolving high dollar accounts first, identifying root causes for process improvement, effectively communicating barriers with their immediate supervisor, and working collaboratively with others to proactively resolve complex problems, reconcile account balances, access customer portals, and work with cash application and billing to ensure account accuracy. The position demonstrates the mission of HRMC by displaying REACH, the core value system: Respectful, Engaged, Available, Competent, and Helpful.
