Reimbursement Specialist II

Myriad Genetics • Salt Lake City, UT

3d

About The Position

The Spec II Reimbursement is responsible for collecting on all outstanding balances for a specific group of payors to ensure maximum reimbursement. This role involves more complex tasks including payor research, root cause analysis, and problem resolution resulting in increased revenue.

Requirements

• High school diploma or GED equivalent required.
• 3+ years of experience working in medical billing or revenue cycle.
• Proven track record of high performance.
• Excellent organizational, communication, multitasking, and teamwork skills.
• Regularly demonstrate independent collection problem identification and resolution skills.
• Demonstrate ability to escalate and resolve issues with payor supervisors, managers, and provider relations.
• Display exemplary teamwork, professionalism, and time management.
• Ability to stay updated on industry trends, regulatory changes, and best practices in medical billing and reimbursement.
• Proficiency in medical billing software and electronic health records (EHR) systems.
• Working knowledge of ICD-10 and CPT codes.

Responsibilities

• Collecting on all outstanding balances for a specific group of payors to assure maximum reimbursement.
• Work aged accounts, process appeals and corrected claims, research and reconcile credit balance accounts, and process adjustments as needed.
• Interact with payers and management team to ensure timely collections of accounts.
• Identifying and resolving AR related issues with sustained improvement in cash collections.
• Regularly demonstrating independent collection, problem identification, and resolution skills.
• Escalating and resolving issues with payor supervisors, managers, and provider relations.
• Participating in team meetings and collaborating with Reimbursement Specialists across the enterprise to replicate payor best practices.
• Comply with applicable CLIA, HIPAA, and Compliance standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED