Support Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Reimbursement Specialist for our Patient Financial Services who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Reimbursement Specialist, you will: Establish the payment status of billed or partially paid claims. Determine the root cause of denial or partially paid claim. Contact the payer either by phone call or online payer portal to determine if the payer is requesting additional information in order to adjudicate the claim. Obtain payment or commitment from payer to pay. Obtain status on billed, resubmitted, appealed, and reconsideration claims. Determine if the claim is on file. File appeal after review of a denial indicates an appeal is needed or the payer agrees to reprocess the claim. Request rebill/corrections if denial has been reviewed and it is determined that a rebill is needed. Contact the payer either by phone call or online payer portal if determined that a denial was inappropriate or additional information is needed for adjudication. Route denial to the appropriate team after a denial has been determined that another department should resolve. Route claim to biller only when no claim is on file after review of the bill scrubber acceptance report. Transfer unpaid balance to the patient once patient responsibility has been determined. Review the Explanation of Benefits for clarity. Process payer changes as needed. Qualifications include: High School Diploma required, or some college preferred. A minimum of 3 years’ experience within a healthcare environment can include an insurance company, public health setting, or an outsourcing company. Work Schedule: Hybrid Day Shift Pay Range: $19.37 - $27.21 In cases where the range is displayed as a $0 amount or if the position is Per Diem (offering a fixed rate), salary discussions will occur during the screening process. United States of America (Non-Exempt) At Adventist HealthCare our job is to care for you. 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 As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. 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 HealthCare team today, apply now to be considered COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco and Drug Statement 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 HealthCare 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 HealthCare 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. Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office. J-18808-Ljbffr