Billing/Payor Reimbursement Specialist
Billing/Payor Reimbursement Specialist
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Job Description
JOIN OUR TEAM!
Spanish and Karen bilingual applicants encouraged to apply for any open positions in which you are qualified.
Reports To: Director of Patient Financial Services
Status: 80 hours per two week pay period
Shift: 8:00 am - 5:00 pm
Job Schedule: Full time - Monday-Friday
Weekly Hours: 40 hours
Remote Position: No
Pay: Competitive salary and benefits package.
Benefits: Huron Regional Medical Center offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility a variety of benefits include health insurance dental insurance vision insurance life insurance a 401(k) retirement plan sick leave and paid time off. To review your benefit eligibility visit HRMC Benefits.
Job Summary
Ensures efficient management of the claims processing cycle by accurate and timely claim submission payor follow-up and correspondence with providers including insurance inquires/correspondence. The employee is responsible for maintaining information and understanding of payers to ensure accurate collection of information and to ensure complete and accurate claims processing results in accurate payment is received timely. The employee requires a thorough knowledge of collections billing and payer contracts and must be able to read interpret implement and follow all regulatory requirements as well as specific payor guidelines. This position requires communication with all levels of the organization and all communication must be clear concise and timely. The ability to work independently and have a strong initiative to stay abreast of payer changes is critical for this position.
Successful candidates will produce results that ensure profitability by resolving high dollar accounts first identifying root causes for process improvement effectively communicating barriers with their immediate supervisor and working collaboratively with others to proactively resolve complex problems reconcile account balances access customer portals and work with cash application and billing to ensure account accuracy.
Demonstrates the mission of HRMC by displaying REACH our core value system:
- Respectful - We value the unique talents ideas contributions and circumstances of each individual.
- Engaged - We value being active positive participants at work and in our communities.
- Available - We value providing local access to care for our communities while being present for each other.
- Competent - We value knowledgeable people-centered innovative and technology driven teams.
- Helpful - We value always helping others with kindness and compassion.
- High school graduate or GED equivalent. One or two years of college or business school preferred. Strong computer experience preferred.
- Experience in third party insurance billing/follow up and collections
- Demonstrates understanding of the healthcare revenue cycle including an appreciation for both outcomes and activity-based metrics.
- Ability to work in a fast-paced changing and high growth environment.
- Possesses and has the ability to apply critical thinking skills.
- Detail oriented and ability to prioritize work.
- Possess and demonstrates mathematical aptitude.
- Possesses and has the ability to communicate both verbally and in writing with patients staff and 3rd party payors in a clear concise and timely manner.
Working Conditions
- Work involves personal contact and interaction with other staff patients families third party payers and intermediaries and with the public.
- Work is in a quiet clean well-lighted climate-controlled environment. Minimal hazards under normal conditions.
- Work requires finger/hand dexterity and eye/hand coordination along with better than average ability with numbers.
- Work involves sitting standing stooping bending pushing pulling reaching with some walking within the department and the hospital. Lifts 10-50 pounds most frequent lifts 10-15 pounds.
- Work is subject to frequent interruptions and may be repetitious.
Required Experience:
Unclear Seniority
Employment Type
Full Time
