Reimbursement Specialist

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🔥 6 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Reimbursement Specialist

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USMD Hospital at Arlington

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

👥 B2C

Healthcare • B2C

USMD Hospital at Arlington is a physician-led, advanced surgical hospital in Arlington, Texas (founded 2003) that provides comprehensive surgical and medical care to patients across Arlington, DFW, and North Texas. The hospital emphasizes minimally invasive and robotic-assisted procedures (it operates six da Vinci® Surgical Systems), and offers specialties including spine surgery, bariatric surgery, orthopedic and neurosurgery, urology, gastroenterology, ENT, podiatry, ophthalmology, and emergency services (24/7). The facility features eight operating rooms, two procedural rooms, 34 private inpatient suites, and focused nurse staffing ratios to support individualized care. USMD Arlington is a physician-owned joint venture with Texas Health Resources and markets itself as a premier physician-led surgical hospital in the region.

📋 Description

• Responsibilities include patient account follow up on all types of hospital claims. • This includes following accounts through secondary and subsequent payers. • Must have thorough knowledge of hospital managed care contracts, standard collection processes and state and federal regulations. • An understanding of medical terminology and diagnosis and procedure coding is needed. • Review all accounts with payments previous day. • Review and resolve reminder queue daily. • File secondary, tertiary, etc. paper claims as needed. • Maintains established policies and procedures, objectives, quality assurance programs and safety standards. • Participates in educational programs and in-services. • Provide customer service for patients, internal customers and insurance companies as needed. • Performs other duties as assigned.

🎯 Requirements

• High School diploma or equivalent required. • Minimum three years of experience as a hospital collector. • Extensive knowledge of payer rules and regulations, including at least 2 years' experience with Texas Medicaid and government payers. • Microsoft Office literacy is needed. • Meditech experience a plus. • Must be able to communicate effectively and professionally by phone and in writing. • Must have good math skills. • Ability to receive, comprehend, and carry out instructions; ability to work safely with equipment, supplies, and materials; ability to comply with attendance requirements; ability to comply with Human Resource policies.