Healthcare Reimbursement Specialist

Company: Ball State
Location: Muncie
Posted on: January 19, 2023

Job Description:

Posting Details Position Information Position TitleHealthcare Reimbursement SpecialistAbout this OpportunityThe College of Health invites applications for a Healthcare Reimbursement Specialist.The position will manage the private and third-party payment processes for the clinical operations within the College of Health (CoH). The individual will be responsible for billing and claims management, payment processing, credentialing, prior authorizations, financial reporting, and other duties as assigned. The Healthcare Billing Specialist will utilize knowledge of insurance regulations, health insurance contracts, healthcare coding, and will provide a variety of support to the College's clinical activities. Thank you for your interest in a career at Ball State University. We are committed to excellence through a talented and diverse faculty and staff. Inclusiveness and freedom of expression are a part of our enduring values and inform all of our efforts. We engage students in educational, research, and creative endeavors that empower our graduates to have fulfilling careers and meaningful lives enriched by lifelong learning and service, while we enhance the economic, environmental, and social vitality of our community, our state, and our world. We are excited that you want to join us in these endeavors!The university offers excellent benefits, including health care and retirement plans, tuition assistance for employees and dependents, and generous time off with pay.Inclusive Excellence StatementAt Ball State University, inclusiveness and freedom of expression are a part of our enduring values and inform all of our efforts. We encourage applicants to familiarize themselves with our Inclusive Excellence Plan to learn more about our commitment and to identify how you might contribute to these efforts.Salary Grade11Wages Begin At17.95FLSANon-ExemptHrs/Week40Pre-Employment ScreeningRequires successful completion of a background check.Position FunctionThe Healthcare Reimbursement Specialist will manage the private and third-party payment processes for the clinical operations within the College of Health (CoH). The individual will be responsible for billing and claims management, payment processing, provider credentialing, prior authorizations, financial reporting, policy creation and administration, and other duties as assigned. The Healthcare Reimbursement Specialist will utilize knowledge of insurance regulations, health insurance contracts, healthcare coding, and will provide a variety of support to the College's clinical activities.Minimum EducationAssociate degree or two years of additional relevant experience will be accepted in lieu of an associate degree.Minimum ExperienceThree years or more performing healthcare coding and billing.Minimum OtherAuthorization to work in the USCandidates for searches must have current authorization to be employed in the U.S. without employer sponsorship.Preferred EducationBachelor's degree or equivalent from an accredited university with healthcare billing certificate and/or degree.Preferred ExperienceFive years or more performing healthcare coding, billing, and managing accounts receivable, in an outpatient rehabilitation setting.Preferred OtherPosition Title(s) SupervisedNone.EEO StatementBall State University is an Equal Opportunity/Affirmative Action employer that is strongly and actively committed to diversity within its community. Women, minorities, individuals with disabilities and protected veterans are strongly encouraged to apply. All qualified applicants will receive equal consideration for employment without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, protected veteran status or any other legally protected status.About Ball State UniversityBall State University is located in Muncie, Indiana, on an attractive campus 45 miles northeast of Indianapolis. Approximately 22,000 graduate and undergraduate students enroll in one of eight academic colleges that offer 120 undergraduate programs. We offer more than 140 master's, doctoral, certificate, and specialist degrees, with many of them ranking among the best in the nation. We engage students in educational, research, and creative endeavors that empower our graduates to have fulfilling careers and meaningful lives enriched by lifelong learning and service, while we enhance the economic, environmental, and social vitality of our community, our state, and our world.Live Near Your Work - If you are considering living near the Ball State area, please visit the following link to learn more about relocation and living in east central Indiana:https://www.bsu.edu/about/live-near-your-workThere's more to discover IN Indiana! Visit the following link to learn more:IN IndianaDepartmentInterprofessional Community Clinics:900130Department InformationDepartment Email or Phone Numberbsmattern@bsu.eduDuties & Responsibilities Ranking1Job DutyPrepare and submit clean claims to third-party payers primarily through electronic data exchange. Investigate claims issues and make recommendations to leadership for process improvement. Monitor submitted claims, follow-up on unpaid claims, and initiate dialogue with insurance companies as neededRanking2Job DutyCoordinate provider enrollments for commercial, state, and federal insurance programs. Maintain up-to-date files for each licensed provider including information such as provider licensure status, certification renewals, and any external records through CAQH, PECOS, and NPPES.Ranking3Job DutyCoordinate the process of client or patient eligibility through various third-party sources. Understand the terms and fee schedule of all third-party payer contracts.Ranking4Job DutyWork with clients and third-party payers to identify, follow-up, and resolve any issues related to billing and payment. Field and resolve billing and payment inquiries from clients, staff, or insurance companies.Ranking5Job DutyManage monthly statement process including reviewing statements prior to their release.Ranking6Job DutyManage financial reporting. Assist director with financial aspects and assemble data tables in the electronic health records and/or patient management systems. Provide data to support quality control and quality assurance initiatives.Ranking7Job DutyCollect, process, and manage payment for service-related fees or devices. Coordinate and administer policy and procedure for sliding fee scale. Coordinate payments for services with patients or third-party payers including but not limited to: posting and managing account payments, pre-authorizing healthcare services or devices with insurers, and sending claims for services rendered, or devices dispensed, to insurers.Ranking8Job DutyMaintain up-to-date knowledge on medical terminology and procedures related to healthcare coding including claims submission, prior authorizations, credentialing, diagnostic and procedural terminology (ICD-10, CPT, HCPC), and EOBs. Ensure compliance with billing policies and guidelines for federal, state, and commercial third-party payers.Ranking9Job DutyServe as a coding subject matter expert in clinical department meetings.Ranking10Job DutyMaintain patient confidentiality and adhere to CoH Clinic's policies and procedures for securing protected health information. Adhere to, and strictly follow, CoH Clinic's policies on security related to clinical spaces and patient care and safety.Ranking11Job DutyCreate and maintain policy and procedures for all areas of job responsibilities.Ranking12Job DutyPerform other related duties as assigned.Ranking13Job DutyMaintain regular and predictable attendance.Posting Detail Information Posting Number202201154SFNumber of Vacancies1Desired Start Date02/06/2023Position End Date (if temporary)Open Date12/22/2022Close Date01/13/2023Open Until FilledNoSpecial Instructions SummarySupplemental Questions Required fields are indicated with an asterisk (*). Applicant Documents Required DocumentsCover LetterResumeOptional DocumentsUndergraduate Transcriptsrecblid oyxpsrc8pkrnnbbdb4dsq5iv4hjs6w

Keywords: Ball State, Muncie , Healthcare Reimbursement Specialist, Other , Muncie, Indiana