Reimbursement Specialist

San Juan Regional Medical Center • Farmington, NM

8d

About The Position

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The Reimbursement Specialist is entrusted to set a positive tone for every customer. They also demonstrate the ability to be a self motivated, energetic person who can interact with third party payers in a courteous manner. The Reimbursement Specialist: coordinates the customers questions and serves as the communication for the CBO, in an attentive, courteous, and competent manner; serves as the liaison between patients and the insurance companies while demonstrating self-confidence, adaptability and personal initiative; maintains a positive attitude and remains calm under pressure. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Requirements

• High School education or GED
• Knowledge of computer keyboarding
• Good communication skills
• Good telephone technique

Nice To Haves

• Knowledge of 3rd party payers (i.e., Medicaid, Medicare, Commercial)
• Medical Terminology and coding experience

Responsibilities

• Responsible for filing insurance claims for all third party payers in a timely and accurate manner
• Ensures goals and objectives established with CBO Manager are attained
• Mail appropriate forms to payers and/or patients
• Posting all payments received from insurance and patients, timely and efficiently
• Coordinating billing and limited follow-up activity associated with the collection of patient accounts
• Stays informed of changes in billing procedures that impact process and /or reimbursement effectiveness
• Professional appearance
• Commitment to successful operation of the clinic billing office
• Maintain strict patient confidentiality
• Documents relative information on patients accounts as per CBO protocol
• Each employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees