Intake Reimbursement Specialist
About The Position
As a member of the Business Office, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit information and acquires initial authorization as needed to begin patient service or to determine denial of patient service. This position also follows up on pending unresolved coverage issues and claim denials and documents and communicates to appropriate providers and internal department's accurate authorization information on current or potential patients. This role will provide services for management of Fairview Homes Infusion as well as external customers. This includes consulting and training services for external consulting engagements.
Requirements
- 2 years Experience in a pharmacy setting or with revenue cycle, health insurance or benefit experience using an enterprise software system in healthcare or insurance organization.
- Revenue Cycle Certification or 3 years of related revenue cycle experience (e.g. - intake, registration, and authorization)
Nice To Haves
- Bachelor of Arts In business, communications, health care or related field.
- 2 years 2 years of revenue cycle, health insurance or benefits experience using an enterprise software system in the assigned clinical area or service line of a complex healthcare organization. Knowledge of ICD9 and ICD10 coding.
Benefits
- Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more!
- Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Number of Employees
5,001-10,000 employees
