Senior Reimbursement Specialist, Day Shift, Patient Financial Services

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If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.

 

Adventist HealthCare seeks to hire an experienced Senior Reimbursement Specialist for our Revenue Cycle department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

As a Senior Reimbursement Specialist you will:
•Verifies and corrects insurance information, charges and coding issues for electronic claims and manual corporate billing.
•Ensures that all billing guidelines are followed per the payer billing requirements.
•Contacts insurance companies regarding status of appeals.
•Daily reconciliation and elimination of billing backlogs.
•Follow-up on payment errors, low reimbursement, denials, etc.
•Review EOBs and initiate appeals as necessary.
•Demonstrates working knowledge of coding (CPT, HCPCS, ICD-10, etc) as it relates to billing.
•Responsible for taking and resolving patient billing calls and inquiries.
•Demonstrates an ability to troubleshoot, report to management, and/or initiate resolution of all issues that occur with regard to billing operations.
•Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals.
•Routine Reporting of Key metrics include: AR days, cash collections, denials, avoidable write-offs, refunds, charge lag, bad debt, etc.
•Coordinates with accounting to ensure accurate and timely month-end financial reports

Qualifications include:
•Bachelor’s or Associates degree in Finance, Business, Accounting or equivalent experience and 7 years’ experience in this field.
•Certified medical coder a plus
•Experience with Electronic Health Records Software. eClinical Works experience is desirable.
•Must maintain a high volume of processing without compromising quality and accuracy.

Work Schedule:

Mon - Fri 40 hours weekly; Hybrid

#GR8 Accounting & Finance

At Adventist HealthCare our job is to care for you.

We do this by offering:

• Work life balance through nonrotating shifts

• Recognition and rewards for professional expertise

• 403(b) retirement plan

• Free Employee parking

• Benefits Eligible Positions:

  • Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]

  • Employer retirement contribution and match after 1-year of eligible employment with 3 year vesting  

  • Ancillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family members

  • Subsidized childcare at participating childcare centers

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered!

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and, if needed, may elect to be vaccinated at any community pharmacy or location offering COVID-19 vaccinations.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

 

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act.  As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

 

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfull