Embracing a Reverence for Life
Reimbursement Specialist
Location
Utah
Posted
15 days ago
Salary
$19 - $22 / hour
Seniority
Senior
Job Description
Reimbursement Specialist
Bristol Hospice
• Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. • We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity.
Job Requirements
- Qualifications An Average Day: (Includes, but not limited to) [Insert bullet points from the job description, focus on the key duties and responsibilities that will begin painting a clear picture for the candidate]
- Other duties as assigned
Benefits
- Tuition Reimbursement
- PTO and Paid Holidays
- Medical, Dental, Vision, Life Insurance, and more
- HSA & 401(k) available
- Mileage Reimbursement for applicable positions
- Advanced training programs
- Passionate company culture committed to the highest standard of care in the hospice industry
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• Assure all insurance claims are processed timely, accurately, and efficiently • Secure payments from both contracted and non-contracted insurance entities as well as customers • Work closely with Customer Sales Support to assure data accuracy and communication of requirements from health insurance plans • Review medical criteria to assure patient documentation meets standards • Carefully review all patient related data and documentation for accuracy prior to claim submission • Create and submit healthcare claims to insurance companies • Communicate with patients to advise on status of insurance claims, as necessary • Contact patients regarding collection of outstanding invoices • Field inbound calls from patients regarding inquiries related to insurance claims • Make outbound investigational calls to insurance providers to determine status of outstanding claims • Negotiate structured payment plans • Access CRM to receive and provide up to date patient claim information • Keep up to date with specifications on all of Tandem products and services • Confirm completion of required training plan before assuming job responsibilities • Ensure work is performed in compliance with company policies including Privacy/HIPAA and other regulatory, legal, and safety requirements

