Reimbursement Representative

JOB SUMMARY Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The Reimbursement Representative reviews insurance company requests for refunds and determines their validity and handles accordingly. Also, assists with posting adjustments submitted by other units. JOB REQUIREMENTS Minimum Education High School Diploma Minimum Work Experience 2 years of experience in insurance, billing, or collections Required Licenses/Certifications Required Skills, Knowledge, and Abilities Knowledge of medical practices, terminology, and reimbursement policies. Knowledge of managing medical and administrative staff. Skill in planning, organizing, delegating, and supervising. Skill in evaluating the effectiveness of existing methods and procedures. Skill in problem solving. Skill in verbal and written communication. Ability to read, interpret and apply policies and procedures. Ability to set priorities among multiple requests. Ability to interact with patients, medical and administrative staff, and the public effectively. Designated Driver No OSHA Category 3 - Low Risk

JOB SUMMARY

* Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The Reimbursement Representative reviews insurance company requests for refunds and determines their validity and handles accordingly. Also, assists with posting adjustments submitted by other units.

JOB REQUIREMENTS

* Minimum Education
* High School Diploma


* Minimum Work Experience
* 2 years of experience in insurance, billing, or collections


* Required Licenses/Certifications
* Required Skills, Knowledge, and Abilities
* Knowledge of medical practices, terminology, and reimbursement policies.
* Knowledge of managing medical and administrative staff.
* Skill in planning, organizing, delegating, and supervising.
* Skill in evaluating the effectiveness of existing methods and procedures.
* Skill in problem solving.
* Skill in verbal and written communication.
* Ability to read, interpret and apply policies and procedures.
* Ability to set priorities among multiple requests.
* Ability to interact with patients, medical and administrative staff, and the public effectively.


* Designated Driver
* No


* OSHA Category
* 3 - Low Risk