Account Reimbursement Coordinator - Out of State Benefits (Hospital)

Centauri Health Solutions

Full-time

1,001-5,000 employees

Professional, Scientific, and Technical Services

About the position

The Account Reimbursement Coordinator (ARC) role at Centauri Health Solutions focuses on processing Out of State Medicaid claims for hospitals across the U.S. This position involves billing, follow-up, and eligibility verification, requiring attention to detail and effective communication with clients. The ARC works collaboratively within a team to ensure timely processing of claims and to meet client expectations, while also identifying trends and issues related to payors.

Responsibilities

• Prioritize workload based on follow up date, dollar amount, hospital request, aging, etc.
• Utilize multiple systems to determine patient eligibility information and demographics.
• Utilize various websites for billing and coding information, as well as ICD review.
• Login to hospital systems (i.e. EPIC) to retrieve records, post payments, and note accounts when applicable.
• Process and submit claims by electronic, paper, or automatic methods as dictated by payor specific guidelines.
• Utilize online payor portals to retrieve remittance advice.
• Ensure that all accounts are maintained with accurate information and a current status update.
• Identify payor trends and issues and communicate to Team Lead/Service Line Manager.
• Identify denied line items and take necessary steps with the payor to resolve the account.
• Follow up on appeals, payments, and denials.
• Work with OOS Leadership and OOS Account Manager to understand client expectations and specific needs.
• Help implement new processes that improve workflow and team efficiency.
• Attend/Facilitate client meetings, typically via phone, but may be in person from time to time.
• Payment review and posting; close accounts as denied or paid in full.
• Upload supporting documentation to the system and Client Site for reference.

Requirements

• Familiarity with UB04 and/or 1500 claims.
• Previous experience working with Medicaid payors.
• 2-4 years of Billing and/or follow up experience is preferred but not required.
• 6 months to one year of administrative or customer service experience.
• Proficient in Microsoft Office, and ability to navigate multiple systems within dual monitors.
• Analytical thinker: Must be able to think critically to meet client expectations.
• Fast learner who can pick up new concepts and detailed procedures.
• Strong internal and external communication skills.
• Attention to detail.
• Ability to work independently but also collaborate with a team as needed.
• Ability to thrive in a high demand environment.

Benefits

• Generous paid time off
• Matching 401(k) program
• Tuition reimbursement
• Annual salary reviews
• Comprehensive health plan
• Opportunity to participate in volunteer activities on company time
• Development opportunities
• Bonus eligibility in accordance with the Company's plan