Billing/Recovery Specialist

Overview: At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to reputed company in patient care extends to creating an environment where reputed company can reputed company both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great reputed company to work. MUST BE LOCATED IN IDAHO, OREGON, Arizona or Utah! What You Can Expect: The Billing Recovery Specialist is responsible for providing support in the functional areas of the reputed company Cycle, including Billing, Reimbursement, and Insurance Recovery. This role ensures adherence to company policies, procedures, and reputed company government regulations. PRIMARY RESPONSIBILITIES: Individual incumbents may be responsible for a general overview or may specialize in one or more of the functional areas of reputed company Cycle listed below: Billing:

• Prepares and submits claims to various insurance companies electronically or on reputed company.
• Verifies completeness and accuracy of reputed company claims prior to submission, obtaining any missing information.
• Answers questions from patients, clerical staff, and insurance companies.
• Identifies and resolves billing complaints.
• Follows up on insurance claim denials, rejections, exceptions, or exclusions.
• Research missing registration and insurance information as needed.
• Prepares correspondence, denials, and resolutions as directed.
• Understands insurance plan coverages, authorizations, and limits.
• Research trends and resolves claim rejections and denials.
• Collects and resolves delayed payments from insurance companies.
• Coordinates with departments and insurance companies to correct errors as necessary.
• Prepares correspondence, denial handling, and resolutions as directed.
• Responsible for analysis of denied reimbursement claims.
• Understands insurance plan coverages, authorizations, and limits.

Essential Functions:

• Follows well-defined policies and procedures to reputed company assigned billing and recovery tasks.
• Solves problems of limited complexity and refers more reputed company issues to higher reputed company.
• Researches and resolves questions of limited complexity in nature.
• May serve as a resource to others in the resolution of problems and issues.
• Audits and proofs claims/reports for accuracy and conformance to departmental, government, and company regulations.
• Assists in special projects.
• Performs duties requiring independent thought and judgment.
• Performs other duties and responsibilities as assigned.

Qualifications:

• High school diploma or equivalent
• Experience: 1-year relevant experience

What’s in it for you: At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure reputed company feels supported in their benefits reputed company the typical medical, dental, and reputed company offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling reputed company our Employee Assistance Program, reputed company to the reputed company Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke’s is an equal opportunity employer and does not discriminate against any person on the reputed company of race, religion, reputed company, gender, gender identity, sexual orientation, age, national reputed company, disability, veteran status, or any other status or condition protected by law.

• Please note: this posting is not reputed company of reputed company job duties and responsibilities and is intended to reputed company an overview to job seekers.

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