Hospital Reimbursement Specialist - Monthly Bonus Eligible
About The Position
JOIN OUR TEAM AS A HOSPITAL REIMBURSEMENT SPECIALIST! Schedule: M-F 8a-4:30p Monthly bonus eligible!!! Onsite with many opportunities for advancement! Your Work Matters How will you make a difference? The Hospital Reimbursement Specialist is a multi-task position that covers all the main functions of the business office. Specialist are assigned to one facility. The following tasks include: Contacting carries for follow up to collect on unpaid facility claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments, communication is essential in this role as account resolution must occur within a timely manner. Familiarity with the following insurances is key; Commercial, Managed Care, PPO/HMO, Managed Medicare, Managed Medicaid, Traditional Medicaid/Medicare.
Requirements
- Understanding of third-party payor rules and regulations.
- Ability to read UB04 forms.
- Able to read and understand an EOB.
- Can take the necessary action for account resolution in accordance with established federal and state regulations.
- Can verify benefits via online portal or over the phone.
- Understand payor contracts and can verify the insurance company has paid correctly.
- Ability to identify next steps required when a claim has been denied/rejected.
- Excellent communication is needed to document accounts accurately.
- Strong organizational and communication skills
- Strong ability to prioritize and efficiently manage time.
- Proficient computer skills with Microsoft Office
- High school graduate or equivalent preferred.
- A minimum of one (1) years’ experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment.
- Knowledge of Microsoft Office including word, excel, and outlook.
- Competence in basic PC skills required to perform job functions.
- Working knowledge of basic medical terminology.
Nice To Haves
- Experience with insurance billing, computer and business software programs (Excel) preferred.
Responsibilities
- Contacting carries for follow up to collect on unpaid facility claims in a timely and accurate manner
- Submit account corrections and adjustments
- Denial management
- Payment variance management
- Appeal submissions when required
- Works with management to identify trends and address root causes of issues in the A/R
- Collaboration with other team members and departments
Benefits
- Monthly bonus eligible
- 401(k) + matching
- Health Insurance
- 100% company-paid life insurance coverage up to 2x your annual salary
- Vision insurance
- Dental insurance
- 100% company-paid long term disability insurance
- Paid time off
- Paid holidays
- Cafeteria on site + discounted meals
- Employee engagement events
- Employee assistance program
- Employee recognition program
- Free parking
- Career & training development opportunities
- Dynamic and inclusive work environment
- Engaged management team dedicated to your success
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1-10 employees
