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Reimbursement Specialist - billing and reimbursement

Robbinsdale, MN

About North Memorial Health

At North Memorial Health, you're part of an inclusive health family that is rooted in our values of relationships, inventiveness, and accountability. Empathy and care are at the heart of North's culture which is designed to actively support each team member's wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower customers to achieve their best health.

About this position

Onsite: This position works onsite in our business office building in Robbinsdale, MN.  

Work hours: Monday through Friday 8 am to 4:30 pm

Responsible for ensuring North Memorial Home Health and Hospice is billing third party payers appropriately and is being reimbursed by third party consistent with contracts.

What we’ll expect from you

• Verify and enter financial information into billing system.
• Notify appropriate payors of special payment arrangements, if applicable.
• Maintain customer statistics on a daily basis.
• Monthly audit of customer records against bill register to ensure accuracy of both bill payors on a daily basis according to guidelines established by the Home and Community Services department.
• Run monthly payor specific reports and work accounts as needed
• Audit third party claim payment for accuracy and review items not paid.
• Compare claim payments to contract fee schedules, provide documentation for payment errors and submit for payment.
• Follow-up with payors on disputed payments and identify items where the payor fee schedule is higher than billed charges.
• Work delinquent accounts for payment on a monthly basis and report quarterly credit balances to Medicare Part A and B.
• Deposit funds received from payors.
• Maintain customer statistic reports.
• Accepts other duties as assigned to promote the accomplishment of organizational goals.
• The team member is accountable to demonstrate proficiency for the skills outlined in the appropriate position skills list.
• The team member is accountable to maintain skill proficiency, including improvement where deemed necessary, and upgrading any additional or new skills on the appropriate position skills list. • Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.

• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
• Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.

Interested? Here are our requirements

Education

• High School diploma or equivalent required.
• Associate degree preferred.   

Experience, Knowledge, Skills, Abilities 

• Previous data entry, alpha and numeric experience required.
• Prior billing, accounts receivable and/or collections experience preferred • Possess mathematical aptitude/computational skills.
• Ability to handle multiple tasks simultaneously with minimal supervision.      

Licensure/Certification(s) Mandatory

 

Licensure/Certification(s) Mandatory where Applicable

    

Licensure/Certification(s) Preferred

    

Posting Date:


EEO/AA STATEMENT

North Memorial Health is an equal employment and affirmative action employer. North Memorial Health does not discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, disability, genetic information, marital status, veteran status, sexual orientation, gender identity, creed, status with respect to public assistance, or other protected class status. North Memorial Health provides reasonable accommodation to disabled applicants and employees and takes affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to protected class status. If you believe that you have been treated in a way that does not conform to these statements, please contact our HR Service Center: 763-581-6947. If you need a reasonable accommodation, due to a disability, or to assist with the application process, please contact our HR Service Center: 763-581-6947.


INSPECTION OF AAP
North Memorial Health is a Federal government contractor or subcontractor.
As a part of our obligations under law, we must develop a written Affirmative Action Program for Individuals with Disabilities and Protected Veterans, as specified by law (AAP).
This AAP is available for inspection by applicants and employees in the Human Resources Office during normal business hours.
Link to Policy



North Memorial Health

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A culture of unmatched customer service

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A culture of unmatched customer service

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North Memorial Health has always provided an equal opportunity for me to excel within this organization while pursuing a passion to help others with the support of a true team!Robert, North Memorial Health Pharmacy Technician

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