What are the responsibilities and job description for the Insurance AR Specialist position at Salem Health?
Location Site: Salem Hospital Main Campus Department: SH Professional Billing Position Type: Full Time (40 hours/week)Start Time: 8:00a.m. Monday-FridayPioneering healthcare since 1896, Salem Health is a top workplace offering market-leading pay where you can make a difference in the lives of those in the community where you live. Through incorporation of Lean driven principles, staff are able effect change in the organization to solve problems, and drive continuous improvement. As an employer of choice, we are devoted to assuring that we provide a safe, healthy, and patient-centric workplace, while keeping staff wellbeing and satisfaction top of mind. We invite you to learn more about our wonderful community: There's something about Salem, Oregon! Your Role With Us:Insurance Specialist Accounts Receivable- Professional BillingYou will apply your advanced industry knowledge and problem solving skills to support the Professional Billing team in providing the best outcomes for our organization and our patients.Primary Functions:1. Resolves moderate to complex claim errors prior to submission to payers; ensuring timely and accurate submission to maximize reimbursement 2. Works moderate to complex denials in a timely and detail-oriented fashion, ensuring timely and accurate submission to maximize reimbursement 3. Utilizes advanced industry knowledge and problem solving skills to identify and analyze variances between expected reimbursement and actual reimbursement from payers; conducts research and keeps up to date understanding of the contractual agreements for payers in their functional area 4. Communicates directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement 5. Works with leadership to identify and analyze trends, address root causes of issues in both claim edits and denials, and help pinpoint strategies for reducing AR 6. Maintains a thorough understanding of federal and state regulations, as well as, specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepanciesTotal Rewards Offerings: Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations and professional growth.Relocation assistance available for qualified candidatesFull comprehensive medical, dental, and vision plansBasic and voluntary life insuranceShort and long-term disabilityLive Well Wellness ProgramEmployee Assistance Program (EAP) 401(K) retirement plan with employer contributions.Generous paid time off (PTO) accrual and holiday pay Onsite fitness center with 24/7 badge accessEducation assistance programPublic service loan forgiveness (PSLF) eligible employer https://studentaid.gov/Food and drink discounts in the cafeteria.Impressive discounts offered by Nike, Adidas, Carhartt and others.Background/Expertise:High school diploma or equivalent required.Minimum of three (3) years of relevant experience in medical or professional billing required.EPIC Resolute experience preferred.CRCR Preferred.Proficient in typing and 10-key.Moderate knowledge of Revenue Cycle.Knowledge of EOBs, insurance payers, ICD-9, ICD-10 and CPT codes.Moderate computer/math skills; moderate knowledge of business/office machines.Possess excellent clerical, organizational, record-keeping and customer service skills.Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.Salem Health Hospitals and Clinics is committed to providing access, equal opportunity and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact my.recruiter@salemhealth.org
