Recoupment Specialist

Job Location US-NC-Winston-Salem
Job Opening ID
2022-139428
Facility
Hanes Mill
Department
Patient Financial Services
Work Schedule
8:00am-5:00pm
PRN Details
Monday-Friday including some weekends and holidays.
Category
Financial Services
Job Status
Full-Time

Overview

The team member's number one job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the health system’s vision of achieving that commitment to patients and families. Novant is looking for a Recoupment Specialist who will be responsible for obtaining all recoupment information per insurance for all patient accounts in the Novant Medical Group physician practices and to fulfill all of the assigned responsibilities to achieve department and CBO financial goals. 

Come join a remarkable team where quality care meets quality service, in every dimension, every time.

 

#JoinTeamAubergine #NovantHealth Let Novant Health be the destination for your professional growth.

 

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Qualifications

  • Education: Associates degree in Business or related field or equivalent work experience as defined below.       
  • Experience: Minimum 3-5 years of experience in a medical billing, cash collections, payment posting, or related experience in a medical environment required
  • Additional skills required: Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment. Ability to work effectively as a member of a team and is self-directed. Good problem solving skills. Basic medical terminology. Exemplary keyboarding skills and computer literacy including but not limited to windows, excel, outlook, work and posting systems. Should have a working knowledge on moving and analyzing files.
  1. Essential Functions Accurate and timely posting of recoupments and contractual adjustments, ensuring that all receipts are posted by the end of each business week and month end.
  2. Accurate reconciliation of all batch totals (and payments, if necessary) that are posted, to the deposit totals reflected on batch cover sheets.
  3. Knowledge and ability to navigate proficiently in Signature, Touch works and Medical Manager.
  4. If/when out of balances occur, take the proper steps to resolve them as soon as possible and always notify the manager of the balancing issue.
  5. To analyze and correct all patient accounts for accurate billing of responsibilities. Maintains up to date knowledge and competency of insurance carriers, both participating and non-participating plans, which are complex and ever-changing.
  6. Thoroughly research remits to ensure accurate posting per method assigned to payers.
  7. Daily checking of the financial error report to ensure all errors from previous day are corrected.
  8. Organizes and manages time effectively to optimize productivity. Meet departmental posting goals in accordance with policy and procedures.
  9. Report any operational problem encounters to the appropriate resource as well as the manager as soon as possible.
  10. Meet all filing requirements of daily work (when necessary) per departmental and corporate guidelines.
  11. Aggressively research and completely resolve any credit balances to patient ‘clearing’ accounts that result from the payment posting process in a timely manner. 
  12. Ensure optimal and proper use of company resources (i.e., computers and their various applications) in meeting daily assigned responsibilities
  13. Complies with established departmental policies for attendance, punctuality, procedures, and safety. Complies with organizational policies and procedures. Maintains satisfactory attendance at Novant Medical Group CBO educational and departmental meetings attends all mandatory education sessions and takes advantage of continuing professional educational opportunities.
  14. Seeks out relevant training or cross training from supervisor. Seeks out guidance from leadership when uncertain of procedure. Solicits feedback from leadership to assess the quality and effectiveness of work. Participates in the dialogue process with supervisor regarding quality improvement. Demonstrates a personal commitment to continuous quality improvement through active participation.
  15. Possess the ability to accept change in a positive manner and implement change with positive results. Demonstrates a positive image of the Novant Medical Group as a caring and always concerned organization. Maintains composure in difficult situations. Uses best judgment to resolve patient problems or refer issues to department leadership

 

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

  • Our team members are part of an environment that fosters team work, team member engagement and community involvement.
  • The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
  • All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

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