Healthcare Reimbursement Specialist

Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description:

Healthcare Reimbursement Specialist, 3M Health Care is now Solventum

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

The Impact You’ll Make in this Role
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
• 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
• 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 and 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

Your Skills and Expertise 

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

• High School Diploma/GED or higher (completed and verified prior to start) AND 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

For current employees, internal transfer restrictions may not apply. For more details, contact your local recruiter/HR team.

Work location: Hybrid Eligible (Job Duties allow for some remote work but require travel to San Antonio, TX at least 1 days per week)

Travel: May include up to 5% domestic

Relocation Assistance: Is 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 

Solventum offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. 

Applicable to US Applicants Only:The expected compensation range for this position is $49,206 - $60,141, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards

Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.

Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process.  Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.

Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.

Solventum is an equal opportunity employer.  Solventum  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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