Job Information
3M Healthcare Reimbursement Specialist in San Antonio, Texas
Job Description:
Healthcare Reimbursement Specialist
Collaborate with Innovative 3Mers Around the World
Choosing where to start and grow your career has a major impact on your professional and personal life, so it’s equally important you know that the company that you choose to work at, and its leaders, will support and guide you. With a diversity of people, global locations, technologies and products, 3M is a place where you can collaborate with other curious, creative 3Mers.
This position provides an opportunity to transition from other private, public, government or military experience to a 3M career.
The Impact You’ll Make in this RoleThe Healthcare Reimbursement Specialist role will be responsible for research, analysis and resolution of high volume, complex customer accounts receivable, order entry exceptions and disputes involving contractual agreements and non-standard billing agreements with hospitals, group purchasing organizations, nursing homes and miscellaneous medical service providers requiring durable medical equipment and associated peripheral medical supplies.
As a Healthcare Reimbursement Specialist, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:
Utilizes higher-level knowledge of accounts receivable practices and information systems to identify and remove barriers to account collection.
Develop, for insurance claim denials, a reasonable patient product use detail and history; to develop and substantiate the product use evidence, and present the patients case as an appeal insurance companies
Facilitates high volume, extensive professional level verbal and written communications to a broad spectrum of internal and external contacts during all resolution activities operating within strict federal credit guidelines and in full compliance with Sarbanes-Oxley regulatory requirements.
Researches and verifies all requisite specific transactional information such as contractual stipulations and service dates, initial order entry information, authorization information, as well as contract information such as reimbursement rates, billing requirements, and limitations of utilization.
Determines root cause(s) recommends and implements appropriate activities and practices to increase collection of company revenue volume and decrease outstanding accounts receivable.
Practices continual autonomous decision-making based on knowledge and understanding of a variety of contractual pricing structures.
Investigate and analyze insurance claims denied reimbursement by reading documents, interfacing with insurance company personnel, patients, and the patient’s physicians and/or nurses, and negotiating computer-based research.
Perform insurance transfers, post and document insurance claim status within the billing system and generate insurance company denied claim status-follow up in the computer system.
Determine the necessity of a patient to be directly responsible for a portion of the claim charges not coverage by a primary or secondary insurance carrier.
Ensures daily production consistently meets stated goals for job position.
Participates in all reasonable work activities as may be deemed suitable and assigned by management.
Conforms to, supports and enforces all Company policies and procedures.
Your Skills and Expertise To set you up for success in this role from day one, 3M requires (at a minimum) the following qualifications:
High School Diploma/GED or higher (completed and verified prior to start)
Five (5) years of performing medical collections in a private, public, government or military environment
Additional qualifications that could help you succeed even further in this role include:
Ability to analyze and resolve complex A/R discrepancies
Demonstrates knowledge of basic accounting skills.
PC skills to include use of Microsoft Excel and Word.
Excellent telephone communication skills and customer service skills.
Demonstrates excellent problem-solving skills and negotiating skills
Ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.
Work location: Hybrid based in San Antonio, TX
Travel: May include up to 5 % domestic
Relocation Assistance: Not Authorized
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).
Supporting Your Well-being
3M offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, 3M regularly benchmarks with other companies that are comparable in size and scope.
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Learn more about 3M’s creative solutions to the world’s problems at www.3M.com or on Twitter @3M.
Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.
Our approach to flexibility is called Work Your Way, which puts employees first and drives well-being in ways that enable 3M’s business and performance goals. You have flexibility in where and when work gets done. It all depends on where and when you can do your best work.
Pay & Benefits Overview: https://www.3m.com/3M/en_US/careers-us/working-at-3m/benefits/
3M is an equal opportunity employer. 3M will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.
Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.
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At 3M we apply science in collaborative ways to improve lives daily as our employees connect with customers all around the world. Learn more about 3M's creative solutions to global challenges at www.3M.com or on Twitter @3M or @3MNews.
