[Hiring] 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.

Physical Demands & Working Conditions

• Regularly required to use hands to finger, grasp, handle, or feel and to reach with hands and arms.
• Frequently required to sit, stand, walk, see, speak, and hear.
• Occasionally required to kneel, climb, or balance.
• Regularly required to lift up to 10 pounds and rarely lift more than 25 pounds.
• Prolonged periods of sitting and data entry.

Special Requirements

• 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.

Essential Job Responsibilities

• Review all accounts with payments previous day.
• Review and resolve reminder queue daily.
• File secondary, tertiary, etc. paper claims as needed.
• Maintains established policies and procedures, objectives, quality assurance programs and safety standards.
• Participates in educational programs and in-services.
• Provide customer service for patients, internal customers and insurance companies as needed.
• Performs other duties as assigned.

Cash Management Support

• Posting electronic payments received daily.
• Print bank statements and review payments received.
• Print and file payment batches by date, batch number.
• Performs other duties as assigned.