Reimbursement Specialist

We are seeking an experienced Reimbursement Specialist to join a growing local health system! This is an onsite position located in Kalamazoo, MI.

Are you ready for your next career adventure as a Reimbursement Specialist? We are currently hiring for a Reimbursement Specialist immediately! We are dedicated and devoted to consistently improving the culture of our team, and focus on finding the "right people '' - Not just the right resume!

What we provide to you as a full-time teammate:

We offer a competitive benefits package that is on par with most of the leading healthcare organizations, along with a 401K plan. Apply today if you are interested in getting your name in the mix!

Reimbursement Specialist Job Overview:

Performs duties necessary to facilitate payment from third party payers. This includes correct billing, status-ing and collection from third parties, posting third party payments (if applicable), computing correct reimbursement, processing incoming and outgoing correspondence, and maintaining a working knowledge of current contracts and government regulations for multiple entities.

Reimbursement Specialist Daily Responsibilities:

• Resolves billing issues up front to promote better reimbursement, reduce outstanding revenue and time spent on working rejections or additional claim follow up.
• Prepares documentation to maximize reimbursement.
• Analyze assignment of all CPT-4, ICD-10, UB04, HCFA 1500 and charges for accuracy and to maximize reimbursement from third party payers
• Critically analyze and process third party and internal information requests and rejections in an effort to resolve accounts receivable.
• Critically analyze and process documents for resolution of third party liabilities, outstanding credits and un-billed accounts.
• Make all necessary posting, adjustments and refunds to accounts and critique contractual allowances and other arrangements.
• Responsible for complete understanding and application of current contracts and governmental regulations including referrals for legal intervention for multiple entities.
• Verifies insurance eligibility using automated on-line systems.

Reimbursement Specialist Schedule: Monday - Friday 40 hours, flexible schedule

• Can work 4 (10) or 5 (8) days
• Can start as early as 6am with the 4 (10) and as late as 8:30am with the 5 (8)

Reimbursement Specialist Pay & Benefits:

• $16-20/hr based on experience
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance