Remote Reimbursement Specialist: Payor Underpayments

Mary Rutan Health; Bellefontaine (OH); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Mary Rutan Health is seeking a Medical Reimbursement Specialist to provide central routing and resolution of underpayments and overpayments for the hospital and clinics in Bellefontaine, OH. The role collaborates with Patient Financial Services and payors to ensure accurate payments and compliance with contracts.

Option to work from home is available for non-probationary staff with network requirements; occasional on-site attendance may be required weekly.

Qualifications

• High School diploma or GED is required.
• At least 3 years of healthcare Revenue Cycle experience, preferably focused on reimbursement.
• Prior EMR experience is required.
• Experience with multiple cross-functional departments and/or outsource vendors is preferred. Meditech EMR strongly preferred.

Responsibilities

• Provide central routing and resolution for underpayments and overpayments.
• Collaborate with Patient Financial Services and payors to ensure payments are investigated and accurate.
• Review and process payor recoupment requests and related actions.
• Ensure compliance with contracting and hospital/clinic financial policies.

Skills

Revenue Cycle knowledge

Payor reimbursement understanding

Communication skills

Customer service orientation

Multitasking

Interpersonal skills

Problem solving

Education

High School diploma or GED

Tools

Meditech EMR

Microsoft Outlook

Microsoft Excel

Job description

Mary Rutan Health is seeking a Medical Reimbursement Specialist to provide central routing and resolution of underpayments and overpayments for the hospital and clinics in Bellefontaine, OH. The role collaborates with Patient Financial Services and payors to ensure accurate payments and compliance with contracts.

Option to work from home is available for non-probationary staff with network requirements; occasional on-site attendance may be required weekly.