Insurance AR Specialist

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Job description

Overview:
Salem Health Hospitals and Clinics are part of a network of state of the art medical facilities located within the heart of the Willamette Valley. At Salem Health, we pride ourselves on being a community centric, diverse organization that has been voted a top workplace by our employees for three years running. We continually strive to provide innovative paths to learning and growth while maintaining an environment of strategic problem solving objectives through Lean driven principles. We understand that hardworking, conscientious and compassionate team members are one of our most valuable assets and we are always looking for outstanding people to join our team. Salem Health Hospitals and Clinics complies with the Oregon COVID-19 Vaccination Requirement for Healthcare Providers and Healthcare Staff in Healthcare Settings. Every candidate who accepts a position with Salem Health will be required to furnish proof of being fully vaccinated against COVID-19 prior to starting employment ("Fully vaccinated" means having received both doses of a two-dose COVID-19 vaccine or one dose of a single-dose COVID-19 vaccine, and at least 14 days have passed since the individual's final dose of COVID-19 vaccine). Details can be found on the Oregon Health Authority site

Description/Qualifications:
Your Role With Us:

You will apply your advanced industry knowledge and problem solving skills to support the department in providing the best outcomes for our organization and our patients.

Core Functions:

Resolve moderate to complex claim errors prior to submission to payers; ensuring timely and accurate submission to maximize reimbursement

Work moderate to complex denials in a timely and detail-oriented fashion, ensuring timely and accurate submission to maximize reimbursement

Identify and analyze variances between expected reimbursement and actual reimbursement from payers; conducts research and keeps up to date understanding of the contractual agreements for payers in their functional area

Background/Expertise:

High school diploma or equivalent required

Minimum of three (3) years of relevant experience in medical or professional billing required

EPIC Resolute experience preferred

Knowledge of EOBs, insurance payers, ICD-9, ICD-10 and CPT codes

We have many excellent opportunities available! To view all of our openings, please visit our career page at

Closing:
Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law. Salem Health Hospitals and Clinics is committed to providing access, equal opportunity and reasonable accommodation for applicants. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact .