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63717347 Reimbursement Specialist (RS1) - PHMI New Jersey B.O. - Denville, NJ

Job Information

ID :
#37960531
# of Positions :
1
Minimum Education Level :
Unspecified
Experience Required :
3+ years
Duration :
Full Time Regular
Shift :
Unspecified
Hours per week:
40

Job Description

 

Reimbursement Specialist (RS1) - PHMI New Jersey B.O.

Facility

Prime Healthcare Management Inc

Location
US-NJ-Denville

ID
2022-88384

Category
Business Professional

Position Type
Full Time

Shift
Days

Overview

Prime Healthcare is an award-winning national hospital system with 45 acute-care hospitals in 14 states with nearly 50,000 employees and physicians. Through a physician-directed and patient-centered model, passionate dedication to quality, evidence-based best practices, operational efficiency, technology and capital investment, our hospitals are recognized among the best in the nation. Prime Healthcare has been named a "Top 15 Health System" by Truven and our hospitals are consistently among the "Top 100 Hospitals" in the country.
Benefits Statement
We offer:
Competitive Compensation
Generous benefits plan: Medical, Dental, Vision, 401K
Substantial PTO
Continuing Educational Opportunities
Collaborative work teams & cohorts
...and much more!

Responsibilities

Under the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices.
\#LI-DW1

Qualifications

Education and Work Experience
Minimum four years hospital billing and collection experience required.
Medical and Insurance terminology essential.
Knowledge of CPT, ICD-9, HCPCS coding structures.
Experience with payment/EOB review.
Bachelor's degree preferred

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated\_files/employers/poster\_screen\_reader\_optimized.pdf

Connect With Us!

Not ready to apply? Connect with us for general consideration.

We believe that all persons are entitled to equal employment opportunity and does not discriminate against qualified employees or applicants because of race, color, national origin, ancestry, sex, marital status, child birth or related medical condition or any other protected category as defined by State or Federal Law. We are an equal opportunity employer and do not discriminate against applicants due to veterans status, disability, race, gender or other protected characteristics.

Company Information

Name :
Hospital Business Services, Inc.
Description :
Prime Healthcare Services and the non-profit Prime Healthcare Foundation employ more than 35,000 people and own and operate 34 acute care hospitals in California, Kansas, Nevada, New Jersey, Pennsylvania, Rhode Island, Texas, Alabama and Missouri. Prime Healthcare was recognized as a Top 15 Health System in the nation in 2013 and 2012. It also earned the distinction in 2009.



The Truven Health Analytics "100 Top Hospitals" award winners for Prime Healthcare in 2015 were Centinela Hospital Medical Center (fourth time), Chino Valley Medical Center (fourth time), Desert Valley Hospital (sixth time) Garden Grove Hospital Medical Center (fourth time), Paradise Valley Hospital (second time) and Shasta Regional Medical Center (third time). Six of the nine California community hospitals that earned this distinction were Prime Healthcare hospitals. Prime Healthcare hospitals have earned this recognition 33 times.



With nearly 3,000 U.S. hospitals surveyed, the hospitals demonstrated that high-quality patient outcomes can be achieved while improving efficiency. If all hospitals in the U.S. performed at the same level as the 100 Top Hospitals award winners:
•Nearly 126,500 additional lives could be saved
•Nearly 109,000 additional patients could be complication-free
•$1.8 billion in inpatient costs could be saved
•The typical patient could be released from the hospital half a day sooner
•Episode-of-illness expense would be 2 percent lower than the peer median


According to Truven the majority of the 2015 award winners have produced year-to-year performance improvement, as well. This speaks to the consistent focus on excellence by the entire organization and the men and women who serve patients.
Type :
Direct Employer
Address :
66 Ford Road
Denville, NJ 07834

Application Information

Online :
Job Posting Entered On :
5/3/2022
Job Posting Expires On :
8/1/2022