Reimbursement Representative in Bolivar, Missouri at Citizens Memorial

Citizens Memorial Hospital (CMH) in Bolivar, MO is hiring a Reimbursement Representative to join our staff in the Clinic Central Billing department! CMH is made up of 34 primary and specialty clinics, 6 Long-Term Care facilities and 1 residential care facility. Offering acute care, emergency services, ambulatory care, pharmacies, walk-in clinics, surgeries, addiction recovery, therapies and more, CMH has its community covered!

About the area: Bolivar is located in the Ozarks with a hometown feel and affordable housing options of rentals or apartments. Enjoy a movie, round of golf or a college game with family or friends and grab a coffee or meal from an array of shops and restaurants! Springfield is only 40 minutes away with Battlefield Mall, Big Shots golf, Wonders of Wildlife, Urban Air and many other family attractions and restaurants to visit. Only an hour away is Branson, which includes many shows to see, Silver Dollar City and shopping!

About the department: Central Billing Office provides billing and follow-up on CMH patient accounts.

A typical day will include:

• Responsible for leading and supporting the CBO Commercial follow-up team, streamlining standards and accountability in departmental operations to achieve timely and accurate payment outcomes.
• Guiding follow-up on hospital and clinic patient accounts, identifying and finding resolution for claim issues and denials from payers to ensure proper reimbursement.
• This role also involves calling/utilizing payer websites to obtain claim status and patient eligibility information, as well as resolving credit balances through appropriate refunds or account adjustments.

Job Requirements:

• Education: High School Diploma or equivalent
• Experience: Computer Experience in Insurance Follow-Up, at least 2-3 years Commercial insurance follow-up, leadership experience preferred
• Skills: Self-disciplined, time management, multitask effectively, maintain focus in a fast-paced environment. Knowledge of ICD-10 and CPT codes is preferred.
• Licensure/Certification: N/A
• Physical: Ability to sit for extended periods while working at a computer for the majority of the workday.

The position is: Full Time, Days

• 8:00a.m- 4:30p.m

Benefits Include

• Competitive wages
• Annual merit increases
• No cost health insurance option for employee
• Full suite of insurance benefits available for employee and family
• Early access to paycheck through PayActiv
• Employee Assistance Program
• Paid Time Off
• Increased matched savings for Retirement Plan
• Company paid long-term disability plan
• Employee discounts

Connect with us! See yourself at CMH and join in the fun: https://www.facebook.com/CMHRecruiting

For more information about this opportunity, please contact Kaylie Sappington at 417-328-6624 or by email at kaylie.sappington@citizensmemorial.com.