Revenue Cycle Reimbursement Specialist

Bronson Healthcare; Portage (MI); Presencial; USD 45.000 - 65.000; Jornada completa

Descripción de la vacante

Bronson Healthcare in Portage, MI is seeking a Reimbursement Specialist to optimize third-party reimbursements. You will handle billing, posting payments, and ensure compliance with CPT-4/ICD-9 coding, payer requirements, and HIPAA regulations.

Strong communication and 45 wpm typing are essential. The role requires clinical billing knowledge, familiarity with Epic and related systems, and the ability to analyze and resolve accounts receivable efficiently.

Formación

• High school diploma or GED required.
• Associate's degree in business or Finance or equivalent experience in Medical Billing, Receivables or Collection preferred.
• Pass EUPA's for all Epic applications within the first 90 days.
• 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.

Responsabilidades

• Facilitate payment from third party payers, including posting third party payments.
• Compute correct reimbursement and ensure claims compliance with payer specifications.
• Postings, adjustments and refunds to accounts; critique contractual allowances.
• Analyze CPT-4, ICD-9, UB04, HCFA 1500 and charges for accuracy to maximize reimbursement.
• Resolve accounts receivable by analyzing third party and internal information requests and rejections.
• Verify insurance eligibility using online systems.
• Ensure compliance with HIPAA and current contracts and regulations.

Conocimientos

Typing 45 wpm

Effective communication

Medical billing knowledge

Payer compliance knowledge

Strong computer skills

HIPAA/regulatory knowledge

Educación

High school diploma or GED

Associate's degree in business or Finance

Equivalent experience in Medical Billing/Receivables/Collection

Herramientas

STAR

EC2000

EPIC

SSI

GLMI Home Health Billing system

Descripción del empleo

Bronson Healthcare in Portage, MI is seeking a Reimbursement Specialist to optimize third-party reimbursements. You will handle billing, posting payments, and ensure compliance with CPT-4/ICD-9 coding, payer requirements, and HIPAA regulations.

Strong communication and 45 wpm typing are essential. The role requires clinical billing knowledge, familiarity with Epic and related systems, and the ability to analyze and resolve accounts receivable efficiently.