PFS Support 1 - Reimbursement Specialist

Iberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients, physicians and employees. We've been caring for our community for over 60 years and offer many diverse career paths. Our new employees experience opportunities to learn and grow while caring for their families, friends and neighbors.

IMC is currently hiring a Reimbursement Specialist for our Patient Financial Services (PFS) department. The Reimbursement Specialist posts all insurance checks as received on a daily basis; posts all EOB’s exactly as stated. Provides back-up to the hospital OTC Cashier as assigned. Also assists Credit Balance Clerk in resolving accounts with credit balances, as able. The remainder of his/her time will be spent assisting co-workers as directed.  

WORK HOURS: 

• 8:30 a.m. to 5:00 p. m., Monday through Friday.

QUALIFICATIONS:

• High school graduate or equivalent.                    
• 2-3 years’ previous hospital Business Office experience preferred; any mail clerk experience also acceptable. 

PRINCIPAL TASKS, DUTIES, AND RESPONSIBILITIES:

• Demonstrates the ability to establish and set own priorities to meet departmental needs
• Faxes the daily payment reports to appropriate Collection Agencies 
• Completes work consistently without wasting time or supplies
• Posts all third party remittances and other insurance payments on a daily basis as needed
• Prepares refund worksheet and appropriate documentation for all refunds and submits to the PFS Assistant Manager for approval
• Provides copies of EOBs, patient checks and other supporting data to justify refunds
• Transfers patient credits to any owing accounts due from the patient or guarantor
• Fills out appropriate adjustment sheet to reverse and duplicate or incorrect contractual adjustments
• Researches and prepares all refund requests from insurance companies
• Maintains and verifies monthly Industrial Billing before mailing statements
• Posts all patient payments, both from those received by mail, as well as those received from 'walk-ins'
• Records and balances petty cash if needed
• Assists patients with Medicaid applications as necessary

• Researches each account on the Daily Credit Balance Report

  
  

COMPETITIVE BENEFITS::

• Great medical benefit plan
• Early access to earned wages
• Participation in robust state pension plan
• Dental, vision, life insurance, disability and more!

IBERIA MEDICAL CENTER is an EEO employer - M/F/Vets/Disabled