Reimbursement Specialist II

at St. Mary's Health & Clearwater Valley Health in Orofino, Idaho, United States

Job Description

Responsible for billing out clean claims and to follow up on the claims until balance is at zero.  Will interact with outside companies and internal departments to resolve any claims issues or denials.  Additional responsibilities include helping assist with technical issues with current systems, training other staff, troubleshoot systems and helping support the manager(s) in the Revenue Cycle.

Essential Job Functions:

• Assume responsibility for all patient accounts assigned.
• Submit clean claims and follow up as needed until zero balance.
• Work reports as directed by manager(s),
• Will help support the organization in issues with the systems as needed. 
• Help provide training to others as requested.
• Supports Finance and Revenue Cycle with research and reporting as requested.
• Attending meetings and huddles on a daily, weekly or monthly basis organized by manager.
• Help identify issues and to help create solutions with the guidance of team members and manager.
• Effectively works as a team with good communication skills, verbally and written.
• Provides excellent customer service with patients and employees.
• Any other duties assigned by the manager.
• Maintains confidentiality of all hospital and patient information at all times. Follows HIPAA regulations and policies.
• Communication with patients, physicians, families and co-workers in person and on telephone.
• Regular and predictable attendance is an essential job function.

Minimum Qualifications:

• High school diploma or equivalent required.
• 1-3 years' experience in related service preferred. 
• Works with numbers, math functions (add, subtract, and comparisons).
• Exhibits competency in common computer office applications.
• High attention to detail.

Full time 40 hours per week