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Reimbursement Specialist

Bronson Healthcare

Performs duties necessary to facilitate payment from third-party payers, including correct billing, statusing and collection, posting payments when applicable, computing reimbursement, processing correspondence, and maintaining knowledge of current contracts and government regulations for multiple entities.

The role supports the revenue cycle by resolving billing issues early, reducing outstanding revenue, processing requests and rejections, documenting reimbursement actions, and handling adjustments, refunds, and contractual allowances. It also involves using multiple internal and external systems and verifying insurance eligibility through online systems.

Requirements & Qualifications

High school diploma or GED required.

Associate's degree in business or finance, or equivalent experience in medical billing, receivables, or collections preferred.

  • Strong computer and general office equipment knowledge
  • Knowledge of medical terminology, ICD-9, CPT-4, national billing forms, third-party payers, managed care, reimbursement, and regulatory compliance preferred
  • Ability to type 45 words per minute
  • Effective communication skills with patients, customers, and co-workers
  • Ability to quickly adapt communication style based on verbal inquiry
  • Ability to complete Epic application proficiency requirements within the first 90 days

Location

N/A

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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