BayCare Clinic · 2 months ago
Reimbursement Specialist - Corporate Headquarters
Green Bay, WI
Full-time
Onsite
New Grad, Entry LevelBayCare Clinic is a physician-owned entity that provides specialty medical services, and they are seeking a Reimbursement Specialist to join their team. The role involves performing audits, preparing and submitting claims, and ensuring accurate reimbursement processes while maintaining confidentiality and compliance.
Health CareHospitalMedical
Responsibilities
Perform detailed audits timely, and as defined by Bay Care reimbursement contracts
Responsible for accurate and timely preparation, review, submission, and follow-up of claims
Contacts payers via website, telephone, and/or correspondence regarding reimbursement
Review both underpayments and overpayments to identify payment trends or missed revenue opportunities
Reviews incorrect discounts received from Payment Posting
The ability to work reports, follow-up and provide updates when needed
Responsible for the specific details regarding projects you are assigned too
Stays current with payer specifics and contracts regarding reimbursement
Follow up and place outbound calls to challenge payments and or reconsideration
Identify problem payers and notify management of issues in a timely manner
Respects and maintains confidentiality
Works in a safe, compliant, and ethical manner always
Qualification
Required
A minimum of a high school education or equivalent
Post high school coursework in Medical Terminology, Healthcare Business Services, or Office Assistant is appropriate
Must have a working knowledge of medical terms and health insurance
Must possess strong desktop computer skills
Preferred
Experience with EPIC electronic medical records system
Prior experience in a medical setting
Benefits
Comprehensive benefits package including health, dental, disability and life insurance
Flexible spending options
401k retirement plan with a company match
Generous PTO
Paid holidays
Company
BayCare Clinic
BayCare Clinic offers anesthesia, cardiology, vascular surgery, sports medicine, neuropsychology, radiology, and orthopedics services.
Founded in 1999
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Ashwani Bhatia. MD,CPE,FACP
Chief Executive Officer
Julie Duckett
Chief Financial Officer
Recent News
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2025-07-28
Green Bay Press-Gazette
2024-05-04
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