Minimum Education/Experience Required:
- High School Diploma or GED required.
- Minimum of two years of previous experience in a healthcare-related position required.
- Experience in coding, medical necessity, registration, insurances, and precertification processes and/or denials preferred.
- Minimum of 2 years of experience or formal education in basic ICD10 coding, medical terminology, Anatomy/pathophysiology, and disease process preferred.
- Depending on healthcare-related experience, may require coding certification within 2 years of date of hire. Experience reviewing ambulatory claim denials preferred.
Special Knowledge, Skills, Training:
- Computer skills (word processing, spreadsheet, graphics, and database software applications).
- Strong quantitative, analytical and organization skills.
- Strong negotiation skills.
- Proficient in payment review systems, hospital information systems and coding methodologies.
- Ability to understand medical records, hospital bills, and the charge master.
- Ability to understand all ancillary department functions for the facility.
- Ability to understand complex insurance terms and payment methodologies.
- Ability to effectively negotiate with insurance carriers and customers.
- Ability to utilize and understand computer technology.
- Ability to communicate orally and in written form.
- Team-orientated with strong interpersonal skills.
Compensation Details: Education, experience, and tenure may be considered along with internal equity when job offers are extended.
Benefits: Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.
Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer.
Memorial Health System is an equal opportunity provider and employer.
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at https://www.ocio.usda.gov/document/ad-3027, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.
* Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.
