REIMBURSEMENT SPECIALIST (9V)

Memorial Care; United States; Hybrid; USD 24,000 - 37,000; Full time

Benefits offered by this job

Paid time off

401(k) match

Health insurance

Dental insurance

Vision insurance

Annual incentive program

Job summary

Memorial Health in the United States is seeking a Reimbursement Specialist to create and process claims and invoices for patient care services and equipment through Memorial Home Services.

You will analyze and resolve billing issues across private pay, commercial, and government insurance, ensuring Medicare/Medicaid compliance and adherence to policies. This is a hybrid role with benefits and incentives available.

Qualifications

• Education equivalent to graduation from high school or GED is required.
• Two or more years of insurance and/or health care billing experience is required.
• Previous experience with in the home medical equipment industry or as a collector is highly preferred.
• Basic working knowledge of personal computers and their associate user software is required.
• Experience with Microsoft Office products Word and Excel is preferred.
• Ability to work within the guidelines of defined governmental policies and company procedures is required.
• Demonstrated ability to work successfully with internal customers and external contacts is required.
• Possesses a highly developed detail orientation, critical thinking, and problem solving ability.
• Demonstrates excellent oral and written communication, customer relations, and listening skills. Must demonstrate the ability to persuade and negotiate effectively.
• Familiarity with medical terminology, medical procedural (CPT), diagnosis (ICD-9 CM) coding and HCPCS coding is highly preferred.

Responsibilities

• Create and process claims/invoices for patient care services and equipment.
• Analyze and resolve claims/billing information and errors for private pay, commercial or governmental insurance.
• Ensure compliance with Medicare/Medicaid guidelines and Memorial Home Services of Central Illinois, Inc. policies.

Skills

Billing experience

Attention to detail

Communication skills

Problem solving

Familiarity with policy/process

Negotiation

Education

High school diploma or GED

Tools

MS Word

MS Excel

Job description

Focused on the Future of Care We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type: Hybrid

Job Description Summary:

Our Reimbursement Specialist creates and processes claims/invoices associated with patient care services and equipment provided via Memorial Home Services of Central Illinois, Inc. Analyzes and resolves claims/billing information and/or errors associated with private pay, commercial or governmental insurance, and other third‑party carriers and collects outstanding balances due. Ensures compliance with Medicare/Medicaid guidelines and Memorial Home Services of Central Illinois, Inc. organizational policies.

Job Description:

• Education equivalent to graduation from high school or GED is required.
• Two or more years of insurance and/or health care billing experience is required.
• Previous experience with in the home medical equipment industry or as a collector is highly preferred.
• Basic working knowledge of personal computers and their associate user software is required.
• Experience with Microsoft Office products Word and Excel is preferred.
• Ability to work within the guidelines of defined governmental policies and company procedures is required.
• Demonstrated ability to work successfully with internal customers and external contacts is required.
• Possesses a highly developed detail orientation, critical thinking, and problem solving ability.
• Demonstrates excellent oral and written communication, customer relations, and listening skills. Must demonstrate the ability to persuade and negotiate effectively.
• Familiarity with medical terminology, medical procedural (CPT), diagnosis (ICD-9 CM) coding and HCPCS coding is highly preferred.

Pay Transparency $17.14 - $26.56

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options.

• paid time off
• 401(k) match
• health/ dental/ vision insurance options

All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail]. Requests will be handled confidentially.