Hospital Medical Billing Reimbursement Specialist

Mercy Health in Grand Rapids, MI

  • Industry: Healthcare - Allied Health - Others
  • Type: Full Time
position filled

SUMMARY

Works collaboratively with Clinical Financial Consultant to decrease financial toxicity for patients. Manages copay assistance and patient assistance process from enrollment of patient with particular attention paid to submitting and processing claims for copay and patient assistance programs

QUALIFICATIONS

Minimum: Minimum of 2 years of college in finance, business, counseling or social work.
Preferred: Bachelors preferred. Hospital billing experience preferred.
Minimum: Two years in medical and/or billing field working with the financial needs of patients. Experience with Hospital billing, billing PAP and copay assistance programs and knowledge of Medicaid guidelines.

ESSENTIAL FUNCTIONS

  • With a high level of initiative, enroll eligible patients into patient assistance and copay assistance programs, submit claims and perform necessary follow up to secure/ensure payment, assist patients in applying for Medicaid and hospital FINA and other community resources that the patient may be eligible for.
  • Communicates and collaborates with the Clinical Financial Consultants to ensure patients are linked with all appropriate eligible resources with the ultimate goal of decreasing financial distress/toxicity for our patient population.
  • Work closely with the billing department to ensure proper documentation and that payments are being posted to correct accounts
  • Interacts with pharmaceutical companies and copay assistance programs as a Champion for the patient.
  • Maintains strong, working relationships with other members of the treatment team.
  • Participates in activities to enhance professional development
  • Able to perform these services throughout the continuum of care (outpatient, inpatient and other various departments)
  • Participates in data collection for quality and research purposes
  • Performs other duties as assigned.
  • SHIFT/LOCATION

    Per Diem/Relief/Contingent position in Lacks Cancer Center to support PTO/FMLA for current staff and supporting Clinical Financial Consultants. Monday-Friday business hours. Also position will be used for training when necessary.

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