Payment Review Specialist - Reimbursement

  • MaineHealth
  • Scarborough, ME, USA
  • Feb 11, 2021

Job Description

Summary

At NorDx, we offer rewarding careers in laboratory science for those committed to work at a center of laboratory excellence. NorDx provides patient-centered, state-of-the-art laboratory testing to our partners in healthcare throughout Northern New England. Our success is the result of dedicated and innovated laboratory professionals. If you are seeking a rewarding, challenging career in a laboratory environment with an organization that will develop your strengths to meet your professional goals, we want to talk to you.
  • Position Summary
    • Payment Review Specialist is responsible for all aspects of billing, follow up and collection activity for billable parties assigned by the Manager. This includes maintaining timely, efficient and accurate accounts receivable insurance follow up as assigned by the Manager.
  • Required Minimum Knowledge, Skills, and Abilities (KSAs)
    • Education: Completion of high school or equivalent education preferred
    • License/Certifications: N/A
    • Experience: Billing experience in a healthcare environment with third party payors and a working knowledge of State and Federal billing and debt collection regulations preferred.
    • Excellent interpersonal skills necessary to deal effectively with clients, patients and third party payors.
    • To perform this job successfully, an individual should have demonstrated proficiency in Microsoft Excel, Word, PowerPoint, Sunquest, Rhodes Scholar, Rhodes Fusion and an ECS system/site and be able to learn and work efficiently with a variety of clinical laboratory computer systems as needed; such as SCC, Powerpath and NorDx Now.
    • Demonstrated competence in the use of various office equipment.
    • Demonstrated keyboarding skills.
    • Oral and written communication needs to be professional, clear and concise.
    • Successfully demonstrates competencies in the position in accordance with the established assessment for the position.
    • Must be able to work any shift, holiday and/or weekend as needed.
    • Must be able to travel among company sites as needed.

Additional Information

MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org