Rady Children's Hospitalposted about 2 months ago
$21 - $28/Yr
Full-time
Hybrid • San Diego, CA
Hospitals

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.

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.

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
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