Hospital Reimbursement Specialist

Hospital Reimbursement Specialist

Join our team as a Hospital Reimbursement Specialist!

Schedule: M-F 8a-4:30p

Monthly bonus eligible!!! Onsite with many opportunities for advancement!

Your Work Matters How will you make a difference?

The Hospital Reimbursement Specialist is a multi-task position that covers all the main functions of the business office. Specialist are assigned to one facility. The following tasks include: Contacting carriers for follow up to collect on unpaid facility claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments, communication is essential in this role as account resolution must occur within a timely manner. Familiarity with the following insurances is key; Commercial, Managed Care, PPO/HMO, Managed Medicare, Managed Medicaid, Traditional Medicaid/Medicare.

Job Related Skills

• Understanding of third-party payor rules and regulations.
• Ability to read UB04 forms.
• Able to read and understand an EOB.
• Can take the necessary action for account resolution in accordance with established federal and state regulations.
• Can verify benefits via online portal or over the phone.
• Understand payor contracts and can verify the insurance company has paid correctly.
• Ability to identify next steps required when a claim has been denied/rejected.
• Excellent communication is needed to document accounts accurately.
• Strong organizational and communication skills
• Strong ability to prioritize and efficiently manage time.
• Proficient computer skills with Microsoft Office

Your Experience Matters What we're looking for:

• Education & Licensure: High school graduate or equivalent preferred.
• Experience: A minimum of one (1) years' experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred.
• Additional Skill Requirements: Knowledge of Microsoft Office including word, excel, and outlook. Competence in basic PC skills required to perform job functions. Working knowledge of basic medical terminology.

Your Care Matters What we provide for our team:

• Monthly bonus eligible
• 401(k) + matching
• Health Insurance
• 100% company-paid life insurance coverage up to 2x your annual salary
• Vision insurance
• Dental insurance
• 100% company-paid long term disability insurance
• Paid time off
• Paid holidays
• Cafeteria on site + discounted meals
• Employee engagement events
• Employee assistance program
• Employee recognition program
• Free parking

What sets us apart:

• Career & training development opportunities
• Dynamic and inclusive work environment
• Engaged management team dedicated to your success
• A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations

Compensation:

This is a full-time position and the expected compensation range for this role is $22.00 $26.00 an hour, plus monthly bonus eligibility. Compensation will be determined based on experience and qualifications. Join us as our next Hospital Reimbursement Specialist and help support meaningful patient-centered care while advancing your career.

Qualifications

Get to know us Outstanding Care, Compassionate People, Unparalleled Service

Discover a fulfilling career at Chicago Behavioral Hospital (CBH)!

Welcome to the heart of mental health treatment innovation in Des Plaines, Illinois! CBH, a cutting-edge 150-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety.

At CBH, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.

Join us in providing exceptional care and contributing to the well-being of individuals and families in need and be a part of the transformative healthcare experience at Chicago Behavioral Hospital.

Chicago Behavioral Hospital