Reimbursement Specialist
Location
Northern America + 9 moreAll locations: Northern America | Americas | Latin America (LATAM) | Europe | EMEA | Asia | Africa | Asia Pacific | Eastern Europe | DACH
Posted
47 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Reimbursement Specialist
USMD Hospital At Arlington LP
Role Description Responsibilities include patient account follow up on all types of hospital claims. This includes following accounts through secondary and subsequent payers. Must have thorough knowledge of hospital managed care contracts, standard collection processes and state and federal regulations. An understanding of medical terminology and diagnosis and procedure coding is needed. Qualifications - High School diploma or equivalent required. Requirements - Minimum three years of experience as a hospital collector. - Extensive knowledge of payer rules and regulations, including at least 2 years' experience with Texas Medicaid and government payers. - Microsoft Office literacy is needed. - Meditech experience a plus. - Must be able to communicate effectively and professionally by phone and in writing. - Must have good math skills. - Ability to receive, comprehend, and carry out instructions. - Ability to work safely with equipment, supplies, and materials. - Ability to comply with attendance requirements. - Ability to comply with Human Resource policies. Benefits - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Job Responsibilities - Review all accounts with payments from the previous day. - Review and resolve reminder queue daily. - File secondary, tertiary, etc. paper claims as needed. - Maintain established policies and procedures, objectives, quality assurance programs, and safety standards. - Participate in educational programs and in-services. - Provide customer service for patients, internal customers, and insurance companies as needed. - Perform other duties as assigned. Cash Management Support - Posting electronic payments received daily. - Print blank statements and review payments received. - Print and file payment batches by date, batch number. - Perform other duties as assigned.
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