Job Description

Job Summary:

The Reimbursement Specialist I is responsible for billing and collections of outstanding account balances from commercial, government, and managed care payors. This role requires interpreting complex payor contract language, pursuing payments due, and identifying payor issues for leadership. The specialist performs account collection activities using internet resources and professional telephone communication, working remotely within the PST time zone.

Responsibilities:

• Manage billing and collections of outstanding account balances for assigned payors.
• Interpret and apply complex payor contract language to reimbursement calculations.
• Identify and report payor issues to leadership.
• Perform account collection activities using internet tools and professional telephone communication.
• Send paper claims, appeals, and refund requests as necessary.

Required Skills & Certifications:

• High School Diploma, GED, or equivalent.
• Minimum of 2 years of hospital billing and collections experience.
• Experience billing commercial payors.
• Proficiency with EPIC billing system.
• Proficiency in Microsoft Excel, Word, and Outlook.
• Ability to work remotely within the Pacific Standard Time zone.

Preferred Skills & Certifications:

• Experience performing billing and collections functions within EPIC for multiple years.
• Familiarity with government and managed care payor billing processes.

Special Considerations:

• Position is fully remote but candidate must reside in the Pacific Standard Time zone.
• Start time between 6:00 AM and 9:00 AM PST is required.

Scheduling:

• Monday through Friday, 5 days per week.
• 8-hour shifts, typically from 7:30 AM to 4:00 PM Pacific Time with some flexibility.

Job Tags

Contract work, Remote work, Monday to Friday, Shift work

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