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MercyOne · 1 day ago

Reimbursement Specialist-full time-days

Dubuque, IA

Full-time

Onsite

Entry Level

1+ years exp

MercyOne is a leading healthcare provider committed to improving community health. The Reimbursement Specialist is responsible for managing the submission and payment processes for assigned accounts, ensuring compliance with regulations and addressing any issues related to accounts receivable.

Health CareHealth DiagnosticsHospitalMedicalNon ProfitPersonal HealthPrimary and Urgent Care

Responsibilities

Performs all related accounts receivable tasks utilizing appropriate policies, guidelines, and standards

Ensures compliance with regulatory bodies such as CMS, The Joint Commission, and others

Ensures charges are valid and meet the payers’ coverage criteria and documentation requirements prior to generating a claim/invoice

Prepares and submits all paper claims in a timely manner

Performs follow-up and resolution of all charges rejected at the front-end edits for charges submitted electronically

Reviews and resolves all written requests for additional information, all partial payments and all denials that are related to the accounts receivable issues