Reimbursement Specialist

6 days left

Location
Gaithersburg, MD
Posted
Feb 05, 2018
Closes
Mar 03, 2018
Function
Nurse
Industry
Healthcare
Hours
Full Time
AdvertisementAdventist Healthcare

.In an effort to improve patient safety, Adventist HealthCare supports a Just Culture. This atmosphere of accountability promotes the identification of human error (mistake), at-risk behavior (behavioral choice that increases risk) and reckless behavior (disregard for risk). The goal is to maintain a culture for learning, safe systems and well managed behavioral choices.

Responsible for the daily reimbursement activities for claims submitted to the third party payors.

Actions and attitude that contributes to the critical success factors of the organization (i.e. Best place to work, Most extraordinary experience, Superior outcomes, Financial success for reinvestment, A growing organization vital to the community, and Valued as a faith-based organization).

Experience Required:

1-2 years experience in PFS preferred.

High School Graduate or equivalent.

Ability to work independently and in a team environment.

Must maintain a high volume of processing without compromising quality and accuracy.

Strong Customer Service skills.

Ability to participate in an environment that promotes staff development, productivity, satisfaction and efficiency

Demonstrates a working knowledge of revenue cycle and reimbursement functions.

Demonstrates a basic understanding of coding and billing requirements including ICD10, UB04, HCPCS and CPT (Current Procedural Terminology).

Maintains a working knowledge for Federal, State, and/or Managed Care requirements

Work Schedule

In this full time position, you will work from 9am- 5:30pm

Qualifications

Experience Required:

1-2 years experience in PFS preferred.

High School Graduate or equivalent.

Ability to work independently and in a team environment.

Must maintain a high volume of processing without compromising quality and accuracy.

Strong Customer Service skills.

Ability to participate in an environment that promotes staff development, productivity, satisfaction and efficiency.

Tobacco 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, We will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine use.

We will withdraw offers of employment to applicants who test positive for Cotinine (nicotine). Those testing positive for cotinine 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

We are an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Learn More

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