Reimbursement Team Lead, Day Shift, Patient Financial Services

Adventist Health Care seeks to hire an experienced Reimbursement Team Lead for our Patient Financial Services department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

• Coordinate and monitor billing claims electronically as well as hardcopy.
• Submit adjusted claims due to audits, changes to charges, diagnosis, billing codes, and DRG.
• Understand and review bills both UB04 and/or 1500 forms to third-party payers daily.
• Support the denials prevention effort to collaborate on ways to prevent denials due to billing concerns or challenges.
• Communicate and coordinate with Clinical Coders when issues arise due to coding edits.
• Ensure filing of all secondary and tertiary claims after primary claims have been paid.
• Work on all assigned claims daily by resolving edits, payer rejections, validating claim errors, and forwarding claims to other departments as needed.
• Handle all customer calls, both internal and external, in a professional and courteous manner.
• Steps into billing work queues and associated tasks to review, analyze, and provide corrective action.
• Work in EHR system to troubleshoot and elevate any barriers or concerns to the manager in a timely, clearly articulated, and documented format.
• Work with the team to keep work queues at agreed-upon levels to stay on task with department goals and objectives.
• Report updates and findings to Billing Supervisor and PFS leadership as needed.

• Good organizational, written, and verbal communication skills.
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
• Ability to work as an independent contributor.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• Fluency in Cerner and/or claims scrubber activities is desirable.
• Strong attention to details and accuracy, using problem-solving skills.
• At least 2-4 years of experience in billing expertise in an acute care setting.
• High School Diploma required; some college preferred.
• Familiarity with Cash Posting functions and duties in an Acute Hospital setting preferred.

Hours:

8 am to 4:30 pm

$22.09 - $29.74

United States of America (Non-Exempt)

We do this by offering:

• Work life balance through nonrotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
• Paid Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support

If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist Health Care team today, apply now to be considered!

Adventist Health Care strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist Health Care will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist Health Care will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and…