Temporary Reimbursement Specialist – Claims & Payers

BayCare Clinic; Green Bay (WI); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Disability insurance

Life insurance

401k retention plan

Paid time off

Paid holidays

Job summary

BayCare Clinic is seeking a Temporary Reimbursement Specialist to join our team in Green Bay, WI. This role involves detailed audits, preparation, submission, and follow-up of claims, with payer communication to resolve reimbursement issues. It is a 40-hour-per-week position, Monday through Friday, 8:00 a.m.

to 5:00 p.m., with no holidays or weekends. The ideal candidate will have healthcare terminology knowledge, familiarity with health insurance, and proficiency with EPIC EMR.

Qualifications

• High school education or equivalent.
• Post high school coursework in Medical Terminology, Healthcare Business Services, or Office Assistant is appropriate.
• Must have a working knowledge of medical terms and health insurance.
• Must possess strong desktop computer skills.
• Experience with EPIC electronic medical records system is preferred.
• Prior experience in a medical setting is preferred.

Responsibilities

• Perform detailed audits timely, and as defined by Bay Care reimbursement contracts.
• Responsible for accurate and timely preparation, review, submission, and follow-up of claims.
• Contacts payers via website, telephone, and/or correspondence regarding reimbursement.
• Review both underpayments and overpayments to identify payment trends or missed revenue opportunities.
• Reviews incorrect discounts received from Payment Posting.
• The ability to work reports, follow-up and provide updates when needed.
• Responsible for the specific details regarding projects you are assigned to.
• Stays current with payer specifics and contracts regarding reimbursement.
• Follow up and place outbound calls to challenge payments and or reconsideration.
• Identify problem payers and notify management of issues in a timely manner.

Skills

Medical terminology knowledge

Healthcare billing knowledge

Education

High school diploma or equivalent

Post-high school coursework in Medical Terminology or Healthcare Business Services

Tools

EPIC EMR

Job description

BayCare Clinic is seeking a Temporary Reimbursement Specialist to join our team in Green Bay, WI. This role involves detailed audits, preparation, submission, and follow-up of claims, with payer communication to resolve reimbursement issues. It is a 40-hour-per-week position, Monday through Friday, 8:00 a.m.

to 5:00 p.m., with no holidays or weekends. The ideal candidate will have healthcare terminology knowledge, familiarity with health insurance, and proficiency with EPIC EMR.