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REIMBURSEMENT SPECIALIST I

Job Field: Legal Jobs
Location: San Diego, CA
Salary: $Not stated
JOB SUMMARY:
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<tr><td valign="top" width="450"><b>Reimbursement Specialist IDepartment: Patient Financial ServicesFacility: Rady Children''s Plaza - Kearny MesaUnion: Schedule: Per diem - Not Benefits EligibleShift: DaysReq Number: 40233Job Details: JOB SUMMARY: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. <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />MINIMUM QUALIFICATIONS:High School Diploma, GED, or foreign equivalentAssociate degree, CPAT or CPAM certification preferred or equivalent work experience2 years of experience requiredProficient in Microsoft Excel, Word and Outlook programsPREFERRED QUALIFICATIONS:Associate''s DegreeGraduation from a formal billing or accounts receivable training program or comparable college courseworkEOE/M/F/D/VHR Use Only:

KEY REQUIREMENTS:
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