Reimbursement Specialist Day Shift Hybrid Patient Financial Services
Reimbursement Specialist Day Shift Hybrid Patient Financial Services
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 19 - 27
1 Vacancy
Job Description
If you are a current Adventist HealthCare employee please click this link to apply through your Workday account.
Adventist HealthCare seeks to hire an experienced Reimbursement Specialist for the Patient Financial Services Department who will embrace our mission to extend Gods care through the ministry of physical mental and spiritual healing.
As a Reimbursement Specialist you will:
Establishes the payment status of billed or partially paid claims.
Determines the root cause of denial or partially paid claim.
Contact the payer either by phone call or online payer portal to determine if the payer is requesting additional information to adjudicate the claim.
Obtain payment or commitment from payer to pay.
Obtains status on billed resubmitted appealed and reconsideration claims.
Determines if the claim is on file.
Files appeal after review of a denial indicates an appeal is needed or the payer agrees to reprocess the claim.
Requests rebill/corrections if denial has been reviewed and it is determined that a rebill is needed.
Contact the payer either by phone call or online payer portal if determined that a denial was inappropriate or additional information is needed for adjudication.
Routes denial to the appropriate team after a denial has been determined that another department should resolve.
Routes claim to biller only when no claim is on file after review of the bill scrubber acceptance report.
Transfers unpaid balance to the patient once patient responsibility has been determined.
Review the Explanation of Benefits for clarity.
Processes payer changes as needed.
Qualifications include:
High School Diploma required or some college preferred.
A minimum of 3 years experience within a healthcare environment can include an insurance company public health setting or an outsourcing company.
Hospital billing experience preferred.
Work Schedule:
Day Shift (Hybrid) Monday Friday 8:30 am 5:00 pm.
#AHCNonClinical25
To apply please email your CV / resume to
Pay Range:
$19.37 $27.21If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate) salary discussions will take place during the screening process.
Under the Fair Labor Standards Act (FLSA) this position is classified as:
United States of America (NonExempt)At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical Prescription Dental and Vision coverage for employees and their eligible dependents effective on your date of hire
Employerpaid Short & LongTerm Disability Basic Life Insurance and AD&D (shortterm disability buyup available)
Paid Time Off
Employer retirement contribution and match after 1year of eligible employment with a 3year vesting period
Voluntary benefits include flexible spending accounts legal plans and life pet auto home long term care and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
As a faithbased organization with over a century of caring for the communities in the Maryland area Adventist HealthCare has earned a reputation for highquality compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someones life every day consider a position with a team of professionals who are doing just that making a difference.
Join the Adventist HealthCare team today apply now to be considered!
COVID19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a wellrecognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions including Maryland permit the use of for medical purposes continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result medical use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and . Those testing positive are given the opportunity to reapply in 90 days if they can truthfully attest that they have not used any nicotine products in the past ninety 90 days and successfully pass followup testing. (Nicotine products include but are not limited to: cigarettes cigars pipes chewing tobacco ecigarettes vaping products hookah and nicotine replacement products (e.g. nicotine gum nicotine patches nicotine lozenges etc..
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting engaging and developing the best people to cultivate our missioncentric culture. Our goal is to have a welcoming equitable and safe place to work and grow for all employees no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race ethnicity color religion sex national origin age disability sexual orientation gender identity pregnancy and related medical conditions protected veteran status or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however it will endeavor to provide reasonable accommodations for applicants religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
