Job Description
The Revenue Reimbursement Specialist will be responsible for researching and analyzing accounts to diagnose reasons for under payment or non-payment of claims.
Duties include ascertaining trends that emerge during review and help develop strategies to correct and ensure successful reimbursement. Monitor and investigate all governmental requests, including ADR’s, CERTS, MAC’s, and RAC’s, and all other revenue-driven denials and requests.
Guides and coordinates with hospital staff s in developing responses. Identifies the need for changes in policies, procedures, documentation strategies, and protocols based on regulatory requirements and makes appropriate recommendations as indicated.
Shift: M-F, 8:30 AM - 5:00 PM
- 3- 5 years of related work experience required
- Associates Degree in Finance, Business, Accounting or a Healthcare specific field preferred
- Good communication skills
- Proficiency in the use of a calculator, personal computers and business software (e.g., Word, Outlook, Excel, etc.).
- Good working knowledge of Medicare, Medicaid, welfare agencies, insurances, etc. required.
- Excellent problem solving skills
- Comfortable with receiving challenging assignments and has the ability to flourish in stressful situations
- Must possess full range of body motion to pass basic FIT test for position to include walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time.
- Must be able to lift and carry up to 30 pounds.
Iredell Health System includes Iredell Memorial Hospital, Iredell Wound & Hyperbaric Center, Iredell Home Health, corporate wellness programs, a skilled nursing facility and a physician network. Iredell offers convenient and easy access to state-of-the-art diagnostics and comprehensive health services. Centers of Excellence include Women’s and Children’s; Cardiovascular; Cancer Care; Surgical Services and Wellness & Prevention. While more and more independent hospitals are being purchased by large for-profit chains, the leadership of Iredell Health System continue to believe - as did the original trustees who signed the certificate of incorporation- that the community is well-served by a locally-owned, locally-operated hospital. Without shareholders or distant corporate offices, all profits remain in the community to provide services, modern equipment and highly skilled staff.
Awards
American Heart Association & American Stroke Association
- Get With The Guidelines Stroke Gold Quality Award
American Diabetes Association
- Diabetes Center Recognition Award
The Joint Commission
- Primary Stroke Center designation
American College of Surgeons’ Commission on Cancer
- Certified Community Cancer Program
Blue Cross Blue Shield (Blue Distinction)
- Distinction Center+ for Hips and Knees & Maternity Care
PNC
- Excellence in Healthcare Award for Quality of Care
Charlotte Business Journal (4 consecutive years )
- Healthiest Employers of Greater Charlotte Award
Healthiest Employers (2 consecutive years)
- Top 100 Healthiest Workplaces in America
Hospital Consumer Assessment of Healthcare Providers & Systems
- Top 13 Acute-Care hospitals in North Carolina
Healogics
- Center of Distinction & Center of Excellence Awards
