Reimbursement Specialist I - Home Care - Patient Financial Services

Rady Children's Hospital • San Diego, CA

245d • $21 - $28 • Hybrid

About The Position

Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources and professional telephone communication etiquette. The Reimbursement Specialist I is required to compose professional written correspondence with all internal and external entities. This position expects the Reimbursement Specialist I to demonstrate organization and time management skills to manage account collections.

Requirements

• HS Diploma, GED or Equivalent
• 2 Years of Experience
• Proficient in Microsoft Excel, Word and Outlook programs

Nice To Haves

• Associate's degree
• 3 Years of Experience

Responsibilities

• Billing and collections of outstanding account balances for commercial, government, and managed care payors.
• Identify and report payor issues to leadership.
• Read, interpret and apply complex payor contract language to reimbursement calculations.
• Pursue all payments due to the organization.
• Perform account collection activities utilizing internet resources.
• Utilize professional telephone communication etiquette.
• Compose professional written correspondence with internal and external entities.
• Demonstrate organization and time management skills to manage account collections.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED