Reimbursement Specialist, FT Hybrid, Home Health
- Employer
- Adventist HealthCare
- Location
- Silver Spring, MD
- Posted
- Aug 18, 2022
- Closes
- Oct 28, 2022
- Ref
- R-021588
- Function
- Nurse
- Industry
- Healthcare
- Career Level
- Experienced (Non-Manager)
- Hours
- Full Time
Adventist HealthCare seeks to hire an experienced Reimbursement Specialist for our Reimbursement Department who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.
As a Reimbursement Specialist you will:
• Be responsible for the following daily Business Office/Reimbursement activities: Billing claims, completing follow-up activities on claims submitted to the third party payers, preparing adjustments and refunds.
• Provides excellent customer service and assist in problem resolution internally and externally
• Participates in the maintaining Electronic Medical Record (EMR) billing, collection and cash posting system
• Maintains working knowledge for all Federal, State, and Managed Care requirements
• Process all Electronic and manual bills timely
• Audits, corrects and appeals claims that have been returned or denied
• Verifies and corrects insurance information, charges and coding issues for all electronic and manual claims
• Troubleshoots & communicates to supervisor/manager on all business office issues and reimbursement functions
• Completes collections/follow-up and other reimbursement activities in accordance to department policies
Qualifications include:
• High School Graduate
• 5 years' experience in Healthcare business office
• Knowledge of Business office and reimbursement functions
• Knowledge for all coding requirements including 837, UB92, CPT, HCPCS and CPT
• Excellent customer service skills
• Ability to problem solve
• Excellent customer service skills
• Ability to work independently and in a team environment
• Ability to maintain a high volume of processing without compromising quality and accuracy
• Ability to participate in an environment that promotes staff development, productivity, satisfaction and efficiency
At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non rotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
• 100% Coverage for inpatient care - at Adventist HealthCare facilities
• 100% Coverage for urgent care nationwide - after copay
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone's 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!
Work Schedule:
This is a hybrid position (remote and on site). The work schedule is from 9:00am to 5:00pm.
COVID-19 Vaccination
Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.
Tobacco and Drug Statement
Tobacco use is a well-recognized 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 marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana 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 marijuana. Those testing positive are given the opportunity to re-apply 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 follow-up testing.
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 mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
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.
As a Reimbursement Specialist you will:
• Be responsible for the following daily Business Office/Reimbursement activities: Billing claims, completing follow-up activities on claims submitted to the third party payers, preparing adjustments and refunds.
• Provides excellent customer service and assist in problem resolution internally and externally
• Participates in the maintaining Electronic Medical Record (EMR) billing, collection and cash posting system
• Maintains working knowledge for all Federal, State, and Managed Care requirements
• Process all Electronic and manual bills timely
• Audits, corrects and appeals claims that have been returned or denied
• Verifies and corrects insurance information, charges and coding issues for all electronic and manual claims
• Troubleshoots & communicates to supervisor/manager on all business office issues and reimbursement functions
• Completes collections/follow-up and other reimbursement activities in accordance to department policies
Qualifications include:
• High School Graduate
• 5 years' experience in Healthcare business office
• Knowledge of Business office and reimbursement functions
• Knowledge for all coding requirements including 837, UB92, CPT, HCPCS and CPT
• Excellent customer service skills
• Ability to problem solve
• Excellent customer service skills
• Ability to work independently and in a team environment
• Ability to maintain a high volume of processing without compromising quality and accuracy
• Ability to participate in an environment that promotes staff development, productivity, satisfaction and efficiency
At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non rotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
• 100% Coverage for inpatient care - at Adventist HealthCare facilities
• 100% Coverage for urgent care nationwide - after copay
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone's 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!
Work Schedule:
This is a hybrid position (remote and on site). The work schedule is from 9:00am to 5:00pm.
COVID-19 Vaccination
Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.
Tobacco and Drug Statement
Tobacco use is a well-recognized 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 marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana 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 marijuana. Those testing positive are given the opportunity to re-apply 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 follow-up testing.
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 mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
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.
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