Sutter Health Reimbursement Specialist - Timberlake (Sacramento) in Sacramento, California

Description

On any given day, Sutter Care at Home touches the lives of thousands of individuals by bringing health care directly to patients where they live - at home.

From local, community-based offices throughout Northern California, the dedicated staff at Sutter Care at Home cares for more than 50,000 patients each year and serves an average daily census of over 18,000 patients.

We provide the most comprehensive range of home care services including skilled nursing, rehabilitation therapy, home infusion therapy, hospice and palliative care, medical social work, home medical equipment and respiratory therapy, home attendant and care management, and community flu and wellness programs.

Through competitive wages and benefits, flexible schedules, innovative care models, new technologies, and tuition reimbursement - Sutter Care at Home strives to be your "employer of choice."

Sutter Care at Home is the home health care and hospice affiliate of Sutter Health, one of the nation's largest not-for-profit health care systems.

On any given day, Sutter Care at Home touches the lives of thousands of individuals by bringing health care directly to patients where they live - at home.

From local, community-based offices throughout Northern California, the dedicated staff at Sutter Care at Home cares for more than 50,000 patients each year and serves an average daily census of over 18,000 patients.

We provide the most comprehensive range of home care services including skilled nursing, rehabilitation therapy, home infusion therapy, hospice and palliative care, medical social work, home medical equipment and respiratory therapy, home attendant and care management, and community flu and wellness programs.

Through competitive wages and benefits, flexible schedules, innovative care models, new technologies, and tuition reimbursement - Sutter Care at Home strives to be your "employer of choice."

Sutter Care at Home is the home health care and hospice affiliate of Sutter Health, one of the nation's largest not-for-profit health care systems.

This position provides support to the admissions and field staffs by obtaining initial insurance verification and authorization to ensure services are reimbursable at the time of admission. Serves as a resource to Home Care Coordinators, Discharge planners, admissions and branch staff on reimbursement issues. Works with and other support staff assisting with the daily management of referrals.

Qualifications

Education

Graduation from high school or the equivalent in education and experience in health care admissions or billing is preferred.

Experience

Previous experience is highly preferred working reimbursement issues and requesting medical authorizations with HMOs, PPOs, workers compensation, Medicare, Medi Cal and Indemnity Insurance, Medical groups, and third-party administrative organizations with an understanding of their inter-relationships

Knowledge

Must possess knowledge of medical terminology, HCPC, CPT and ICD Coding, coordination of benefits and insurance billing.

Skills

Excellent organizational skills, balance competing priorities and resolve conflicting time restraints while on every level with tact and candor.

Must be responsive to frequent interruptions and last minute changes. Must be detail oriented with

accurate data entry skills. Able to multi-task with excellent communication skills and the ability to handle multi-line telephones and demonstrate strong customer service skills to both internal and external patrons. Must be able to develop and maintain harmonious working relationships. Type 50 wpm on CRT.

Primary Location: California, Greater Sacramento Area, Sacramento

Organization: Sutter Care at Home

Employee Status: Regular

Employee Referral Bonus: No

Benefits: Yes

Position Status: Non-Exempt

Union: No

Job Shift: Day

Shift Hours: 8 Hour Shift

Days of the Week Scheduled: Monday-Friday

Weekend Requirements: None

Schedule: Full Time

Hrs Per 2wk Pay Period: 80

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.