Reimbursement Assistant - Utilization Management

Shift:Monday - Friday, 8am - 5pm
Department: Utilization Management - Notice of Admissions Team. Available as Remote
Compensation:

* Base Pay Range: $19.15 - $30.23/hour, based on experience

ABOUT THE JOB

MU Health Care is looking for a detail-oriented and collaborative Reimbursement Assistant to join our Utilization Management team. In this dynamic role, you'll be the critical link between departments and insurance providers, ensuring timely and accurate submission of notice of admission forms and coordinating billing and reimbursement processes. The ideal candidate thrives in a fast-paced environment, demonstrates strong communication skills, and has a keen eye for interpreting medical documentation and identifying potential claim issues. You'll work closely with internal teams and external agencies to resolve audit discrepancies and support accurate coding for diagnoses and procedures. If you're passionate about making a difference behind the scenes in health care and have a solid understanding of medical terminology, we invite you to apply and grow with us.

ABOUT MU HEALTH CARE

MU Health Care is proud to be named one of Forbes' Best-in-State Employers seven years in a row, and that's largely a result of the incredible culture and team we've built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.

Our academic health system - the only in mid-Missouri - is home to seven hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.

Learn more about MU Health Care.

Learn more about living in mid-Missouri.

EMPLOYEE BENEFITS

* Health, vision and dental insurance coverage starting day one

* Generous paid leave and paid time off, including nine holidays

* Multiple retirement options, including 100% matching up to 8%and full vesting in three years

* Tuition assistance for employees (75%) and immediate family members (50%)

* Discounts on cell phone plans, rental cars, gyms, hotels and more

* See a comprehensive list of benefitshere.

DETAILED JOB DESCRIPTION

Submit notice of admission forms to appropriate insurance companies via portal, fax, and phone communication.

Review and assign incoming faxes on approvals and denials to the appropriate place.

Coordinate all notice of admissions with appropriate departments within the university system and outside agencies; i.e., Medical Records, Hospital Admissions, insurance companies.

Coordinate all aspects of professional and technical billings/collections with appropriate departments within the university system and outside agencies; i.e., Medical Records, Practice Plan, Hospital Admissions, outside hospitals, insurance companies, and state and federal agencies.

Screen medical record for possible claims related liability issues;assist in the audit of medical records in order to document and identify potential problems with the billing and reimbursement process.

Act as liaison between third party payers and assigned departments in order to resolve audit discrepancies.

Screen medical records for all diagnoses and procedures; assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient, outpatient and professional encounters to assure appropriate reimbursement is billed.

Interpret healthcare documentation in order to determine principal diagnosis and procedure.

May complete unit/department-specific duties and expectations as outlined in department documents.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of medical terminology.

REQUIRED QUALIFICATIONS

Associate's degree (or equivalent credit hours) in medical coding, medical office technology, or other medical related area, or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired.

PREFERRED QUALIFICATIONS

Two (2) years of medical related experience including one (1) year of medical coding experience.

Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs.

The University of Missouri is an Equal Opportunity Employer.