Reimbursement Specialist I

Location

San Diego, CA | United States

Job description

Job Description

• This is an in-office position that will entail primarily supporting the department’s paper functions including, sending paper claims, appeals, refund requests etc. 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.
  

Requirements

Requirements

• High School Diploma, GED or Equivalent
  
• 2 years of experience
  
• Proficency in Microsoft Excel, Word and Outlook programs
  
• Proficency in sending paper claims, paper appeals and refund requests
  

Job tags

Salary