Reimbursement Specialist Contract Compliance

Reimbursement Specialist

The Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue lists) at acceptable aging levels by prompt review and follow up of claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values.

Essential Functions

• Responsible for the accurate and timely submission of reconsiderations and disputes.
• Responsible for maintaining work queues at acceptable ageing, by updating accounts and tracking trends.
• Research and resolve a variety of issues relating to payment discrepancies.
• Identify issues and / or trends and communicate findings to management, including payer, system or registration issues.
• Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
• Accurately and thoroughly document findings and actions taken while meeting / exceeding productivity and quality standards
• Participate and attend meetings and training to develop job knowledge and communicate with other caregivers.

Skills

Minimum Qualifications

Physical Requirements

Location : Peaks Regional Office

Work City : Broomfield

Work State : Colorado

Scheduled Weekly Hours : 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $24.00 - $36.54

We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules.