Patient Billing & Reimbursement Specialist - Call Center

Bronson Healthcare; Portage (MI); Presencial; USD 42.000 - 62.000; Jornada completa

Descripción de la vacante

Bronson Healthcare is hiring a Reimbursement Specialist for the Patient Call Center in Portage, MI. This full-time role focuses on third-party payer reimbursements, accurate posting, and regulatory compliance within the Bronson Revenue Cycle Services group.

You will analyze claims, ensure eligibility, and resolve billing issues to optimize revenue while maintaining high standards of patient confidentiality and care coordination.

Formación

• High school diploma or GED required.
• Associate's degree in business or Finance; or equivalent experience in Medical Billing, Receivables or Collection preferred.
• Successfully pass Epic applications within the first 90 days in the position.
• Strong computer and general office equipment knowledge required.
• Knowledge of medical terminology, ICD-9 and CPT-4 coding, National Billing forms, third-party payers, managed care, reimbursement and regulatory compliance preferred.

Responsabilidades

• Facilitate payment from third-party payers and posting of third-party payments.
• Process incoming and outgoing correspondence and ensure accurate reimbursement.
• Analyze CPT-4, ICD-9, UB04, HCFA 1500 charges for accuracy to maximize reimbursement.
• Verify insurance eligibility using automated online systems and payer eligibility tools.
• Resolve billing issues to reduce denials and accelerate revenue.

Conocimientos

Effective communicator

Medical billing knowledge

HIPAA compliance

Analytical skills

Typing 45 wpm

Educación

Associate's degree in business or Finance

GED

Herramientas

EPIC

STAR

EC2000

SSI

GLMI

Payer systems

Descripción del empleo

Bronson Healthcare is hiring a Reimbursement Specialist for the Patient Call Center in Portage, MI. This full-time role focuses on third-party payer reimbursements, accurate posting, and regulatory compliance within the Bronson Revenue Cycle Services group.

You will analyze claims, ensure eligibility, and resolve billing issues to optimize revenue while maintaining high standards of patient confidentiality and care coordination.