PRIA Healthcare · 2 days ago
Reimbursement Hotline Specialist
Connecticut, United States
Full-time
Remote
Mid, Senior Level
5+ years exp
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Hiring Manager
Natalie Scinto, SPHR
Insider Connection @PRIA Healthcare
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Responsibilities
Utilize knowledge in health care reimbursement systems to be a resource to colleagues and clients.
Stay abreast of key coding, policy and payment changes.
Manage and interacts with clients with minimal supervision.
Stay abreast of key reimbursement and market access policy issues impacting clients.
Own responsibility for the quality of deliverables.
Manage client’s billing and coding Hotlines, including being involved in Development and Implementation and ongoing operations. Specific tasks include: proactively or reactively answering billing and coding questions from physician providers, facilities field-facing staff and other stakeholders.
Upon request, additional duties, including support as a customer service representative and coding analyses for specific projects.
Qualification
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Required
College degree preferred but will substitute for applicable work experience
Must be a certified coder, with updated certifications.
Ideally in physician, hospital outpatient and inpatient coding
Should have billing experience in the hospital setting and preferably in hospital and physician setting
5+ years of experience in reimbursement, market access, or a similar background in the MedTech industry or consulting is required for this position.
Superior oral and written communication skills.
Must have the ability to guide providers on complex coding and billing issues/scenarios and also be able to troubleshoot.
Strong intellectual curiosity and a desire to develop an in-depth understanding of systems, business processes, and complex issues.
Ability to read, analyze, and interpret complex documents.
Proficiency with Microsoft Office (Word, PowerPoint, Excel) and internet applications.
Strong professionalism with customer relationships.
Self-directed and proactive attitude with the ability to identify key processes and new services needed by clients.
Preferred
Knowledge of medical, anatomical, and physiological terminology preferred.
Benefits
Competitive compensation package
Generous Paid Time Off
Comprehensive Medical/Dental/Vision plan
401K with 3% match
Tuition Reimbursement Program
Generous Employee Referral Program
Rewards & Recognition Platform
Professional development opportunities
Employee health & wellness programs
Coding certification reimbursement
Company
PRIA Healthcare
PRIA Healthcare Management is a patient access and reimbursement solutions company specializing in patient based appeals of denied care.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
Aldrich Capital Partners
2022-01-26Private Equity· Undisclosed
Leadership Team
Jeffrey Sirek
Chief Executive Officer, Board Member
Company data provided by crunchbase
