Description:
Goodwill TalentBridge, a full service staffing and recruitment firm, is part of Goodwill Industries of Southeastern Wisconsin and Metropolitan Chicago, the largest of the 165 Goodwill territories in North America. With more than 90 years of experience in Workforce Development and job training, Goodwill is helping thousands of people find work in the communities we serve, including 13 counties in Wisconsin and 10 counties in Illinois.
Are you ready to make a meaningful impact?
NOW HIRING! Goodwill TalentBridge has partnered with an association in the Chicagoland area who is actively seeking an experienced and resourceful Health Payment Policy/Reimbursement Specialist to join their team. Offering a hybrid-flexible work environment and a healthy work-life balance, our client also offers a total benefits package with competitive compensation.
Perks That Make a Difference:
- Hybrid Remote Work: Enjoy the flexibility of a hybrid model—3 days in the office and 2 days remote.
- Work-Life Balance: Embrace a 37-hour work week with flexible start hours between 8 AM – 4:30 PM.
- Competitive Salary: Earn a competitive annual salary ranging from $68,000 to $73,000.
- Great Benefit Packages: Access comprehensive benefits that prioritize your well-being.
- Staff Tenure and Stability: Join a team with an average tenure of 10 years.
Please Note: this is a contract to hire opportunity!
In this role, you will be responsible for monitoring, analyzing, and summarizing federal and state regulations that affect physician reimbursement. Medicare, Medicaid, and Commercial Payer policies included. In conducting extensive research and interpretation of policies, you will educate members on relevant governmental and payer policies affecting their coding and reimbursement system. Playing a pivotal role in developing and maintaining coding and billing resources and courses, you will also be responsible for supporting committees with recommendations on physician work values and practice expenses. In doing so, you will need to stay up to date on coding and reimbursement changes as well as current Medicate and/or third-party payer coverage and claim filing processes. A solid understanding of healthcare policy and its impact on physician reimbursement is essential.
Requirements:
- Key Accountabilities:
- Monitor, analyze, and interpret regulations and payer policies
- Prepare written summaries of policies and rules
- Attend committee meetings and collaborate with advisors on responses and initiatives related to procedures
- Contribute to the development, marketing, and planning of coding and billing courses
- Maintain Coding & Billing resources and courses
- Write and maintain reimbursement and payment policy content for publications, newsletters, and website
- Support staff onsite by attending in person workshops
- Provide support to the Health Care Policy, Coding, and Reimbursement committee and assist members in selecting appropriate codes, and troubleshooting claim denials
- Prepare meeting agendas and meeting minutes
- Coordinate committee projects and meeting logistics
- Assist with other duties as assigned
Qualifications:- Education: Bachelor’s degree in public health, health policy, political science, or equivalent
- Experience: previous experience with health policy research, writing, payment policy analysis, billing and coding, and physician practice management; ICD-10-CM, CDT, CPT
- Knowledge: understanding of U.S. health system, insurance and reimbursement systems, Medicare, Medicare, Commercial Insurance policies, and current health policy issues
- Skill Set: excellent verbal and written communication, ability to work independently and collaboratively, strong analytical skill set, time management, and organizational skill set
- Travel Requirements: travel up to 10%
- Physical Requirements: must be able to lift up to 50lbs
WHY JOIN US
This role offers the opportunity to make a significant impact by supporting the association and its membership with healthcare payment policy matters. If you are a dedicated individual who thrives in a mission driven environment, we’d love to hear from you!
Apply today to join an organization who is dedicated to its members and its team!
Equal Opportunity Employer
