Reimbursement Assistant

Under general supervision, interfaces with assigned clinical departments; conducts specialty appeals; identifies, and communicates coding issues, denial trends, and reimbursement changes that will impact assigned departments; performs collections, registrations, charge corrections, payment posting functions and special projects as necessary.

Knowledge, Skills, Abilities, and Personal Characteristics

Knowledge of medical terminology

Working knowledge of computer programs and spreadsheet applications

Customer service skills

Strong written and verbal communication skills

Ability to interact with clinical department administration and management

Ability to initiate and follow-through on projects

Ability to respond to questions in a tactful and professional manner

Ability to make basic numerical calculations

Ability to maintain confidentiality

Ability to maintain accuracy

Minimum Qualifications

High school diploma, supplemented with one to three (1-3) years of related experience

Job Duties and Responsibilities

Job Duty

Performs collection functions, registrations, charge corrections and payment posting functions; provides initial review of collection results, and conveys findings to analyst for communication to departments.

% Of Time

40

Importance Rating

1

Job Duty

Conducts specialty appeals; verifies the accuracy of payments; provides follow-up on specific denials; troubleshoots and assists departments and/or staff with difficult rejections and payor issues.

% Of Time

30

Importance Rating

2

Job Duty

Investigates aged accounts receivable and rejection patterns; prepares reports to convey findings and trends.

% Of Time

5

Importance Rating

3

Job Duty

Serves as backup contact for department on billing issues, questions, and policies; communicates departmental concerns to reimbursement analyst for further analysis, resolution, and direction.

% Of Time

10

Importance Rating

4

Job Duty

Attends payor meetings to communicate denial trends or payor issues.

% Of Time

10

Importance Rating

5

Job Duty

Performs other duties as assigned.

% Of Time

5

Importance Rating

6