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Revenue Reimbursement Specialist, Full Time at Iredell Memorial Hospital Incorporated

Statesville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

19 May, 26

Salary

0.0

Posted On

18 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Researching, Analyzing Accounts, Under Payment Diagnosis, Non-Payment Diagnosis, Trend Ascertaining, Strategy Development, Reimbursement Monitoring, Governmental Requests Investigation, Denial Investigation, Staff Guidance, Policy Changes Identification, Procedure Changes Identification, Documentation Strategy Changes, Protocol Changes, Communication Skills, Problem Solving Skills

Industry

Hospitals and Health Care

Description

Description The Revenue Reimbursement Specialist will be responsible for researching and analyzing accounts to diagnose reasons for under payment or non-payment of claims. Duties include ascertaining trends that emerge during review and help develop strategies to correct and ensure successful reimbursement. Monitor and investigate all governmental requests, including ADR’s, CERTS, MAC’s, and RAC’s, and all other revenue-driven denials and requests. Guides and coordinates with hospital staff s in developing responses. Identifies the need for changes in policies, procedures, documentation strategies, and protocols based on regulatory requirements and makes appropriate recommendations as indicated. Shift: M-F, 8:30 AM - 5:00 PM Requirements 3- 5 years of related work experience required Associates Degree in Finance, Business, Accounting or a Healthcare specific field preferred Good communication skills Proficiency in the use of a calculator, personal computers and business software (e.g., Word, Outlook, Excel, etc.). Good working knowledge of Medicare, Medicaid, welfare agencies, insurances, etc. required. Excellent problem solving skills Comfortable with receiving challenging assignments and has the ability to flourish in stressful situations Must possess full range of body motion to pass basic FIT test for position to include walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time. Must be able to lift and carry up to 30 pounds.

Responsibilities

The specialist will research and analyze accounts to determine the causes of underpayment or non-payment of claims, developing strategies to ensure successful reimbursement. Duties also involve monitoring and investigating various governmental requests and revenue-driven denials, while guiding hospital staff in developing responses.