• REIMBURSEMENT SPECIALIST

    Posted Date 3 months ago(3/13/2018 1:15 PM)
    Requisition ID
    2018-7683
    # of Openings
    1
    Department
    REVENUE INTEGRITY
    Location Name
    Baptist Business Operations Center
    City
    Pensacola
    Category (Portal Searching)
    Other
    Position Type
    Full-Time
    Schedule
    Day Shift
  • Overview

    Under the direction of the Revenue Integrity Manager, the Reimbursement Specialist receives charge master change requests for facilities and physician practices, and processes them in a timely manner, researching Medicare regulations as needed for compliance. Communicates to Department Managers and Charge Master Liaisons, billing regulations, and policies concerning charge master maintenance. Distributes Medicare Bulletins (Local Medical Review Policies, etc.) to Department Managers, and others, and assists in carrying out new regulations.

     

    The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.

    Qualifications

    • High School Diploma or General Education Degree required.
    • One (1) year experience in hospital/medical billing, coding, or auditing required.
    • Excellent written and oral communication skills.
    • Must be able to interpret and communicate CPT descriptions, Medicare regulations, etc., and apply these to charge master requests.
    • Must have computer skills to manage charge master changes and generate reports as needed. Must pay precise attention to detail.

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