Noridian Healthcare Solutions, LLC ยท 1 day ago
Reimbursement Specialist I
Maximize your interview chances
FinanceHealth Care
Work & Life BalanceNo H1B
Insider Connection @Noridian Healthcare Solutions, LLC
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Processes cost report correspondence which may include mail correspondence, cost report processing, tentative and final settlements.
Performs analysis of cost report documentation to determine acceptability criteria is met to accept cost report.
Updates systems (FISS, STAR) with applications processed by Provider Enrollment.
Updates systems to reflect rate changes derived from payment rate reviews, provider reviews, and CMS-mandated changes.
Builds constructive working relationships with clients/customers, other work units, and other individuals to meet mutual goals and objectives.
Collaborates with Recoupment, Systems Support, Provider Call Center, Provider Audit, Provider Enrollment, PreProcess, and Provider Education to support providers on various payment and systems issues.
Answers provider questions on payments, cost reports, and other reimbursement issues.
Mentors new and existing staff.
Actively collaborates with members of the team to ensure department goals and timeliness are met.
Contributes positively to a team-based work environment by actively seeking and providing feedback, participating in team and divisional goals, and streamlining and improving processes.
Other duties as assigned
Attends training courses/workshops
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
High school diploma or GED.
1 year of work experience in customer service, general office, accounting or healthcare.
Accurate data entry.
Demonstrated problem solving skills.
Preferred
2 years' experience in accounting or healthcare.
Effective oral and written communication skills.
Excellent attention to detail and high level of accuracy.
Excellent time management and customer service skills.
Critical thinking and analysis skills.
Benefits
Health, Dental and Vision Insurance
Voluntary Insurance Plans
Health Savings and Flexible Spending Accounts
401k and Company Match
Company-paid Life Insurance
Education Assistance Program
Paid Sick Leave
Paid Holidays
Increasing PTO Accrual Plan
Medical/Parental/Disability Leave
Workers Compensation
Retiree Benefits
Severance Package
Employee Assistance Program
Financial and Health Wellness Benefits
Casual Dress
Open Office Setting
Online Learning System
Company
Noridian Healthcare Solutions, LLC
Noridian Healthcare Solutions, LLC (Noridian) develops solutions for federal, state and commercial health care programs through a full suite of innovative offerings, including claims processing, medical review, and contact center and provider administrative services.
Funding
Current Stage
Late StageRecent News
Company data provided by crunchbase