Reimbursement Specialist

University Physicians

#upjobs

Act as liaison between third party payors and providers to resolve payment variance and denied claims trends, along with other payor issues that may impact reimbursement.

Maintain current knowledge of payer criteria/polices related to billing requirements and denial sources.

Analyze and communicate changes to payment policies that may have a material impact to the organization.

Maintain IDX Reject Subsystem for full capture and utilization of denial data.

Using coding knowledge, identify potential problems with the billing and reimbursement process.

When researching cause for payment variance and denial, collaborate with provider support staff to utilize technical resources to avoid reimbursement issues (e.g. Transaction Editing System, Claims Manager, etc.).

Monitor post-project success rate to maintain reduction of payment variances and successful appeals. Communicate to management other issues identified during projects to prioritize future efforts

This position is eligible for University Physicians work from home program.

Monday - Friday

A bachelor's degree in health or business related area or the equivalent combination of education and experience from which comparable knowledge and abilities can be acquired.

Certified Procedural Coder is preferred. Three to four years of supervisory experience and directly related experience involving physician billing procedures is preferred.
Be proficient in Microsoft office and preferred experience with Experian Contract Management.

Salary Range: $22.00 - $34.74 hourly
Grade: GGS - 007
University Title: REIMBURSEMENT SPCLST
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

In addition to the Online Application, please provide a Cover Letter and Resume.

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits.

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.