Reimbursement Specialist- Onsite

Bronson Health; Portage (MI); Presencial; USD 50.000 - 65.000; Jornada completa

Descripción de la vacante

Bronson Health in Portage, MI is hiring an Onsite Reimbursement Specialist to process third party payments and ensure accurate billing. The role emphasizes compliance with HIPAA, coding accuracy, and effective communication with payers and patients.

Responsibilities include analyzing CPT-4/ICD-9 codes, posting payments, and resolving denials to maximize reimbursement. A strong billing background and familiarity with Epic/STAR systems are preferred.

Formación

• High school diploma or GED required; college degree preferred.
• Associate degree in business or finance preferred.
• Typing speed 45 words per minute.
• Knowledge of ICD-9, CPT-4 coding and national billing forms.
• HIPAA, regulatory compliance and payer contracts knowledge.
• Strong computer and general office equipment skills.
• Experience in medical billing, receivables or collections.

Responsabilidades

• Facilitate payment from third party payers and post payments.
• Analyze CPT-4, ICD-9, UB04/HCFA 1500 charges for accuracy.
• Ensure claims comply with payer specifications and regulations.
• Resolve billing issues to maximize reimbursement.
• Prepare documentation for reimbursement.
• Assist with accounts receivable and follow-up.

Conocimientos

Typing 45 wpm

Communication skills

HIPAA knowledge

Regulatory compliance

Medical terminology

ICD-9/CPT-4 coding

Educación

Associate's degree in business or Finance

GED

Herramientas

Epic

STAR

EC2000

HCFA/UB04 software

Payer claims systems

Descripción del empleo

## Reimbursement Specialist- OnsiteApply: Portage-6901 Portage Rd.: Full time: Posted Today: JOB51472CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only.**Love Where You Work!**Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.## **Location**Portage-6901 Portage Rd. - Business Office Building## ## **Title**Reimbursement Specialist- OnsitePerforms duties necessary to facilitate payment from third party payers. This includes correct billing, statusing and collection from third parties, posting third party payments (if applicable), computing correct reimbursement, processing incoming and outgoing correspondence, and maintaining a working knowledge of current contracts and government regulations for multiple entities. Employees providing direct patient care must demonstrate competencies specific to the population served.High school diploma or general education degree (GED) required. Associate's degree in business or Finance; or equivalent experience in Medical Billing, Receivables or Collection preferred. Successfully pass EUPA's for all Epic applications associated with position 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. • Ability to type 45 words per minute is necessary. • Must be an effective communicator with patients, customers and co-workers. • Must be able to quickly analyze communication style based on nature and approach of verbal inquiry. Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects. • Accountable for ensuring claims are compliant with all payer specifications; State, Federal and HIPAA regulations. • Resolves billing issues up front to promote better reimbursement, reduce outstanding revenue and time spent on working rejections or additional claim follow up. • Prepares documentation to maximize reimbursement. • Analyze assignment of all CPT-4, ICD-9, UB04, HCFA 1500 and charges for accuracy and to maximize reimbursement from third party payers • Critically analyze and process third party and internal information requests and rejections in an effort to resolve accounts receivable. • Critically analyze and process documents for resolution of third party liabilities, outstanding credits and un-billed accounts. • Make all necessary posting, adjustments and refunds to accounts and critique contractual allowances and other arrangements. • Responsible for complete understanding and application of current contracts and governmental regulations including referrals for legal intervention for multiple entities. • Proficient in the revenue cycle process via multiple computer systems including but not limited to: Internal systems: STAR, EC2000, EPIC, SSI, GLMI Home Health Billing system and External systems such as payer claims and eligibility systems. • Verifies insurance eligibility using automated on-line systems.## ## **Shift**First Shift## ## **Time Type**Full time## ## **Scheduled Weekly Hours**40## ## ## **Cost Center**1203 Call Center/Financial Counselors (BHG)