Reimbursement Specialist
Sutter Health - Sacramento, CA

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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.

Special Skills/Equipment:
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-Roseville

Organization

:

Sutter Care at Home

Employee Status

:

Limited Term

Accepted Applications

:

All Candidate Applications Accepted

Benefits

:

No

Position Status

:

Non-Exempt

Union

:

No

Job Shift

:

Day

Shift Hours

-

8 Hour Shift

Days of the Week Scheduled

:

Monday-Friday

Shift Start Time

:

7:00 am

Shift End Time

:

4:00 pm

Schedule

:

Full Time

Hours Per 2wk Pay Period

:

80

Sutter Health - 20 months ago - save job - block
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