Senior Medical Reimbursement Specialist

Bellwood, IL | Job ID: 61661

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Job Description

Senior Medical Reimbursement Specialist

Our client, a top recognized Healthcare Provider in the Chicagoland area, is looking for a Senior Medical Reimbursement Specialist to oversee the growth of the Patient Financial Services department. Ranked among the top academic medical centers in the country, our client is an excellent opportunity for those looking to advance their career. The Senior Medical Reimbursement Specialist will be in charge of ensuring payment on unpaid claims and/or denied claims, as well as, hiring the team of reimbursement specialists hit their quotas as well.

Senior Medical Reimbursement Specialist Job Description: 

  • Ensure all claims are accurately transmitted daily and meet team goals
  • Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals
  • Research payer denials related to referrals, prior authorization, medical necessity, case management, non-covered services, and other billing issues and delays in payment. 

  • Develops appropriate strategies for all changes in reimbursement and enlists the assistance of a multi-disciplinary team to assist with the implementation of any process or reimbursement change.

Senior Medical Reimbursement Qualifications: 

  • High Diploma or GED is required.

  • Minimum of 2 years of recent experience with either hospital or physician claim resolution.

  • Full understanding of the requirements of Medicare, Medicaid and all other major third party payors.

  • Epic or 2 years of EMR experience

 

If you are qualified and interested in the Senior Medical Reimbursement Specialist position, please apply today! 

 

Thanks, 

Courtney Corcoran

Sr. Project Manager - Healthcare Revenue Cycle 

LaSalle Network 

630-472-1700 

Keywords: Clinical Denials , Appeals , Revenue Cycle , Payer, Medicare , Medicaid , Utilization Management , Case Management , CMS , Certified Medical Coder , EPIC , Resolute Hospital Billing 

LaSalle Network is an Equal Opportunity Employer m/f/d/v. LaSalle Network is Chicago's leading provider of professional staffing and recruiting services. LaSalle has worked with 10,000 companies, ranging from Fortune 500s to start ups. Specializing in administrative, accounting and finance, marketing, executive search, technology, supply chain, healthcare revenue cycle, call center, and human resources, LaSalle serves companies of all sizes and across all industries.