Texas Children's Hospital
Senior Reimbursement Specialist
Texas Children's Hospital, Bellaire, Texas, United States, 77401
Senior Reimbursement Specialist – Texas Children’s Hospital
Join to apply for the Senior Reimbursement Specialist role at Texas Children’s Hospital. We are searching for a Sr. Reimbursement Specialist – someone who works well in a fast‑paced managed care setting. In this position, you will design, develop, and manage the denial and underpayment databases for Patient Accounting. This role will primarily be responsible for monitoring and tracking managed care reimbursement and denialsalling to provide weekly, monthly, and yearly reports to management of trends. Job Duties & Responsibilities
Creates and maintains denial and underpayment databases to ensure that all denied and underpaid accounts are identified and trended to improve collections and reduce denials. Ass Bahasa patient account managers cle alluerzo training in resolving reimbursement issues related to managed care and other discounted accounts. Meet with payers to maintain productive relationships with insurance companies, managed care organizations, and government agencies to resolve reimbursement and slow payment problems. Provide weekly, monthly, and annual reports for Business Service Leadership and VP of Finance to manage and monitor Accountsattutto grece cycle. Conduct period audits on accounts by payer to ensure that accounts are reimbursed appropriately, and contractual discounts are recorded accurately. Develop reimbursement reports for the Health Centers and Learning Support centers. Work closely with the Decision Support team to ensure that reimbursement and collections data is accurate. Develop and maintain positive relationships with physicians, providers, and practice managers throughout the delivery system. Actively participate in the development and implementation of action plans for the department in response to Business Services adoption of Continuous Quality Improvement. Skills & Requirements
High School Diploma or GED. Seven years of experience in accounting, contracting, collections, provider relations, or patient access area. A Bachelor’s degree骤replaces four years of the required experience. Knowledge of State, Federal, and third‑party claims processing and the laws of the State Insurance Board and Fair Collection Act. aventuras all types of managed care payment plans such as H 色情 locator, PPO, POS, and EPO plans. About Us
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. Texas Children’s is an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children’s without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected status unrelated to the performance of the work involved.
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Join to apply for the Senior Reimbursement Specialist role at Texas Children’s Hospital. We are searching for a Sr. Reimbursement Specialist – someone who works well in a fast‑paced managed care setting. In this position, you will design, develop, and manage the denial and underpayment databases for Patient Accounting. This role will primarily be responsible for monitoring and tracking managed care reimbursement and denialsalling to provide weekly, monthly, and yearly reports to management of trends. Job Duties & Responsibilities
Creates and maintains denial and underpayment databases to ensure that all denied and underpaid accounts are identified and trended to improve collections and reduce denials. Ass Bahasa patient account managers cle alluerzo training in resolving reimbursement issues related to managed care and other discounted accounts. Meet with payers to maintain productive relationships with insurance companies, managed care organizations, and government agencies to resolve reimbursement and slow payment problems. Provide weekly, monthly, and annual reports for Business Service Leadership and VP of Finance to manage and monitor Accountsattutto grece cycle. Conduct period audits on accounts by payer to ensure that accounts are reimbursed appropriately, and contractual discounts are recorded accurately. Develop reimbursement reports for the Health Centers and Learning Support centers. Work closely with the Decision Support team to ensure that reimbursement and collections data is accurate. Develop and maintain positive relationships with physicians, providers, and practice managers throughout the delivery system. Actively participate in the development and implementation of action plans for the department in response to Business Services adoption of Continuous Quality Improvement. Skills & Requirements
High School Diploma or GED. Seven years of experience in accounting, contracting, collections, provider relations, or patient access area. A Bachelor’s degree骤replaces four years of the required experience. Knowledge of State, Federal, and third‑party claims processing and the laws of the State Insurance Board and Fair Collection Act. aventuras all types of managed care payment plans such as H 色情 locator, PPO, POS, and EPO plans. About Us
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. Texas Children’s is an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children’s without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected status unrelated to the performance of the work involved.
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