Reimbursement Specialist in Bristol, PA at Prime Healthcare

Date Posted: 7/7/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    501 Bath Road
    Bristol, PA
  • Job Type:
  • Experience:
    At least 4 year(s)
  • Date Posted:
    7/7/2019

Job Description



Responsibilities

Located in Bristol, PA Under the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices.

Qualifications

1. Minimum four years hospital billing and collection experience required.2. Medical and Insurance terminology essential3. Knowledge of CPT, ICD-9, HCPCS coding structures4. Experience with payment/EOB review5. Bachelor's degree preferred

 

We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf