Community Health Systems · 1 day ago

Reimbursement Specialist I

Fort Smith, AR

Full-time

Remote

Entry Level

1+ years exp

Maximize your interview chances

Health CareHospital

Actively Hiring

Insider Connection @Community Health Systems

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Uses various methods (phone, web, fax, e-mail) of contacting insurance payers and/or responsible entities to obtain claim status on submitted and unresolved claims. (40%)

Research patient accounts to ensure account integrity, using all available resources and tools (i.e., payer websites, contracts, and internal references). Use critical thinking skills to resolve account denials and payer barriers. (25%)

Take appropriate actions toward account resolution and appropriate balance. This may include actions such as facilitating interdepartmental communication, posting adjustment requests, and providing requested information to insurance payers and/or responsible entities. (20%)

Utilize internal computer systems and applications to thoroughly and professionally document all actions taken to reach resolution on an account. (10%)

Communicate daily with management about payer trends identified. (5%)

This is a fully remote opportunity.

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.

Healthcare revenue cycleClaim status resolutionComputer systems proficiencyDocumentation skillsPayer websites usage