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Reimbursement Specialist

Posted: June 24, 2024
Salary:US$16.00 - US$20.00 per hour + medical, vision and dental + PTO
Job type: Permanent
Discipline:Revenue Cycle
Work Location:On-site

Job description

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