This position performs day-to-day billing and follow-up activities within the revenue cycle operations.  Responsible for ensuring assigned insurance balance does not age past filing deadlines based on payor’s specific requirements.

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

• Verifies insurance coverage by investigation or interview.
• Follows up on accounts with insurance payers in a timely manner to avoid any timely filing losses.
• Adds account notes in Epic as appropriate and per department expectations.
• Works acceptable number of accounts based on department productivity standards.
• Utilizes telephone contacts, faxes, Internet, or other means as appropriate to successfully follow-up with payers.
• Reviews insurance credit balances and refunds payer when appropriate.
• Responsible for engaging management when a claim is approaching timely filing limit and are unsure of how to get the claim paid or unable to get the insurance/other responsible party to respond.
• Requests and completes re-bills as necessary.
• Notifies management when payers are being unresponsive.
• Responds to requests for information from patients or payers about claims or coverage.
• Actively participates in payer representative meetings to resolve issues.
• Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste, and abuse.
• Position includes other duties and projects as assigned to support goals and outcomes consistent with department expectations.
• Attends meetings as requested.

Education Required:      

• High school diploma or GED.

Experience Preferred: 

• 2-3 years’ experience in medical billing or insurance with knowledge of government medical programs such as Medicare, Medicaid, Champus, etc., and the associated payment methodology.

Licensure: None.

Certifications:  None.

Other: 

• Must maintain a professional appearance and demeanor.
• Ability to work well under little supervision.
• Objective and detailed approach to problem solving.
• Good investigative and organizational skills.
• Must be able to communicate effectively both orally and in writing.
• Ability to work successfully with changing priorities and deadlines.
• Knowledge of Epic.
• Knowledge of UB-04, 1500, 837I and 837P formats.
• Knowledge of ICD10 and CPT codes.
• Extensive attention to detail.
• Strong understanding of Microsoft Excel and Word.
• Ability to perform job functions and make independent decisions as appropriate.

Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022

Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

EEO Statement: Reid Health is an Equal Opportunity Employer

No Search Firms:

Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. 

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