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The Central Business Office has an exciting opportunity for a Full-Time Contract Reimbursement Representative. The Contract Reimbursement Representative coordinates communications with payers to ensure accurate reimbursement and billing practices. Further, the Contract Reimbursement Representative serves as a liaison between applicable company departments to streamline reimbursement practices.
Ensures all claims are paid according to the guidelines.
Meets regularly with departments to identify and resolve any payment issues and denial trends.
Works with management to develop revenue budgets on trend analysis.
Addresses reimbursement related inquiries, assesses patients’ coverage options, and provides eligibility and benefit verification.
Consults and advises physicians with billing problems and initiates plans for solving such problems.
Evaluates and assists with providing data to negotiate managed care contracts.
Reviews patient care account receivables and works with the collectors to reduce outstanding underpayment and denied claims.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
MINIMUM QUALIFICATIONS
High School diploma or equivalent
Minimum 1 year of relevant experience
General knowledge of office procedures and operations
Skill in data entry with minimal errors
Ability to accurately prepare and maintain records, files, reports and correspondence
Knowledge of generally accepted accounting procedures and principles.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Any appropriate combination of relevant education, experience and/or certifications may be considered.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full timeEmployee Type:
StaffPay Grade:
H3