Reimbursement Specialist

7 days ago


Memphis, Tennessee, United States Baptist Memorial Full time
Job Summary

We are seeking a highly skilled Reimbursement Specialist to join our team at Baptist Memorial Health Care. As a key member of our finance department, you will play a critical role in maximizing collections of accounts receivable and ensuring timely follow-up of outstanding accounts.

Responsibilities
  • Prepare and submit accurate invoices to payors following established policies and procedures.
  • Verify coverage and secure authorizations as required by each payor source.
  • Resolve denials, inaccurate payments, and non-payments by reviewing available documentation and taking appropriate action.
  • Prepare write-offs and adjustments according to established policy to maintain accurate accounts receivable.
  • Evaluate expiring prior authorization of services and take necessary action with payors, physicians' offices, and clinicians.
  • Review medical documentation and/or claims release prior to billing to ensure corporate compliance with billing regulations.
Requirements
  • Minimum one year of business experience.
  • Preferred: Billing/Accounts Receivable experience in healthcare.
  • Knowledge of medical terminology, basic Microsoft Office, Excel, and Word computer skills.
About Baptist Memorial Health Care

We offer a competitive compensation and benefits package, including paid vacation/time off, continuing education opportunities, and a generous retirement plan. We are committed to providing a work environment that supports the well-being of our employees and the communities we serve.



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