Reimbursement Coordinator

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The University of Missouri School of Medicine Department of University Physicians

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BASIC FUNCTION AND RESPONSIBILITY

To coordinate with Revenue Cycle Leaders in the analysis and root causing of all payer rejections/denials trends and present proposed solutions within University Physicians as well as other departments in order to prevent rejections/denials from occurring and obtain prompt payer reimbursement. Act as liaison with other departments to resolve reimbursement issues and provide education as needed.

CHARACTERISTIC DUTIES

-Coordinate the audit of claims/reimbursements/reports/etc. for Medicare, Medicaid, --Campus, and related areas. Research patient record documentation and prepare letters to appeal adverse determinations in payment.
-Research reimbursement issues and writes responses to clarify or refute clinical decisions made by payers; keep appropriate staff and departments informed of applicable regulatory changes to billing and coding rules.
-Prepare and/or perform special assignments/projects, conduct feasibility studies, and perform related financial and/or clinical analysis.
-Work closely with other professionals and administrators, internal and external to the University, to analyze, root cause, and resolve reimbursement issues.
-Train/educate new University Physicians staff and perform quality monitoring
-Review and analyze aging AR and payer trends and provide feedback to staff and leadership
-Contribute information for process improvements within and outside of Patient Accounts Dept.
-Act as administrator for payer websites for existing and new staff
-Regularly attend Department Meetings and present information as needed

Shift Type: Monday - Friday, 8:00 a.m. to 5:00 p.m.

Flexibility for Alternative Schedules: Yes

Position is eligible for the University Physicians work from home program.

Bachelor's degree in related/relevant area or an equivalent combination of education and experience and at least 2 years of experience from which comparable knowledge and skills can be acquired is necessary.

Education: Certified Procedural Coder is preferred.
Additional Training: Prefer a candidate with extensive knowledge of Medicare, Medicaid, Tricare and Commercial payors for Medical, Behavioral Health, Dental, and Vision programs.

Hiring Range: $52,915.20 - $83,408.00
Grade: GGS-9E
University Title: REIMBURSEMENT COORDINATOR
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

In addition to filling out the online application please provide a Cover Letter and Resume.

Columbia offers small-town friendliness with big city features and a high quality of life for people of all ages and interests. Founded on education and known as an ideal college town, its location also makes it an attractive spot for businesses and travelers. Located on Interstate 70 and U.S. Highway 63, Columbia is right in the middle of the state and the nation. Just a couple hours' drive from St. Louis and Kansas City, Columbia is Boone County's largest population center offering big-city culture, activities, and resources with a low cost of living. Columbia is home to a variety of restaurants and entertainment venues and hosts more than a dozen festivals each year. If you want to grow your career, continue your education, raise a family, and retire, Columbia is a good place to be!

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits.

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.