Reimbursement Specialist — Hybrid Schedule & Benefits

Adventist HealthCare; Gaithersburg (MD); Hybrid; USD 28,000 - 37,000; Full time

Benefits offered by this job

Free Employee parking

Medical, Prescription, Dental, and Vis

Tuition Reimbursement

Paid Time Off

Employer retirement contribution

Job summary

Adventist HealthCare is seeking an experienced Reimbursement Specialist for our Patient Financial Services Department in Maryland. The role emphasizes patient service, accurate claim status checks, and resolving denials with payers.

You will follow up on claims, verify benefits, and escalate issues to management as needed in a hybrid day schedule, 40 hours per week. Benefits include comprehensive coverage and retirement contributions.

Qualifications

• High School Diploma required, or some college preferred.
• Minimum 3 years’ experience within a healthcare environment.
• Able to handle multiple tasks in a fast-paced setting.

Responsibilities

• Follows up on billed and/or denied accounts with third party payers.
• Verifies Coordination of Benefits for all insurance provided.
• Establishes the payment status of billed or partially paid claims.
• Contacts payer to obtain information needed for adjudication.
• Performs routine problem solving and escalation as needed.

Skills

Patient service

Customer service

Problem solving

Phone etiquette

Education

High School Diploma

Some college preferred

Job description

Adventist HealthCare is seeking an experienced Reimbursement Specialist for our Patient Financial Services Department in Maryland. The role emphasizes patient service, accurate claim status checks, and resolving denials with payers.

You will follow up on claims, verify benefits, and escalate issues to management as needed in a hybrid day schedule, 40 hours per week. Benefits include comprehensive coverage and retirement contributions.