Reimbursement Specialist

Are you a detail-oriented and analytical individual looking for a challenging and rewarding career in the healthcare industry? Providence St. Joseph Health is seeking a Reimbursement Specialist to join our team and help us manage the complex process of insurance reimbursement. As a Reimbursement Specialist, you will play a vital role in ensuring that our healthcare organization receives proper reimbursement for services provided to patients. We are looking for a candidate with a strong understanding of insurance policies and procedures, exceptional organizational skills, and the ability to work in a fast-paced environment. If you have a passion for accuracy and a desire to make a difference in the lives of others, we encourage you to apply for this exciting opportunity.

1. Review and analyze insurance policies and procedures to ensure accurate reimbursement for services provided to patients.
2. Collaborate with various departments within the organization to gather necessary information and documentation for insurance claims.
3. Identify and resolve any discrepancies or issues with insurance claims to prevent delays in reimbursement.
4. Maintain up-to-date knowledge of insurance regulations, policies, and procedures to ensure compliance.
5. Utilize strong organizational skills to manage a high volume of insurance claims and maintain accurate records.
6. Work closely with insurance companies to negotiate and secure proper reimbursement for services provided.
7. Communicate effectively with patients, healthcare providers, and insurance companies to provide updates and resolve any issues related to reimbursement.
8. Utilize analytical skills to identify trends and patterns in insurance claims and make recommendations for process improvements.
9. Collaborate with finance and billing departments to ensure accurate and timely submission of insurance claims.
10. Maintain confidentiality of patient information and adhere to all HIPAA regulations.
11. Participate in training and development opportunities to stay updated on industry changes and advancements.
12. Provide exceptional customer service by responding to inquiries and concerns from patients and insurance companies in a timely and professional manner.
13. Adhere to company policies and procedures and maintain a high level of integrity and ethical standards in all interactions.
14. Continuously seek opportunities for process improvement and efficiency in the reimbursement process.
15. Meet or exceed performance metrics and goals set by the organization.

According to JobzMall, the average salary range for a Reimbursement Specialist in Spokane, WA, USA is $40,000 to $60,000 per year. However, this can vary depending on factors such as experience, education, and specific job duties. Some Reimbursement Specialists may earn more if they have additional certifications or specialized skills in the healthcare industry. Additionally, salaries may be higher in larger healthcare organizations or in cities with a higher cost of living.

Providence Health & Services is a non-profit Catholic health care system operating multiple hospitals across 5 states, with headquarters in Renton, Washington.