Medical Reimbursement Specialist

2 days ago


Miami, United States The University of Miami Full time
Job Summary

We are seeking a highly skilled Medical Reimbursement Specialist to join our team at The University of Miami.

About the Job

This role will involve reviewing and analyzing credits to ensure accurate reimbursement practices, identifying and reporting issues, and serving as a liaison between departments and external entities.

  • Key Responsibilities:
  • Review and analyze credits within assigned Work Queues (WQs) for proper resolution, involving payers, patients, and other entities.
  • Analyze contract rates to ensure proper reimbursement and Explanation of Benefits (EOBs).
  • Serve as a liaison between the Credit Balance Unit and external departments, vendors, patients, and Third-Party Companies to address reimbursement-related inquiries.
  • Assess patients' coverage and eligibility, as well as pre-authorizations.
  • Process refunds via check, credit card portal, and wire transfer.
  • Provide in-service training for onboarding staff and vendors.
About the Team

The University of Miami offers a competitive salary range of $65,000 - $85,000 per year, depending on experience, along with a comprehensive benefits package including medical, dental, and tuition remission.

The University of Miami is a leading academic medical center serving South Florida, Latin America, and the Caribbean, offering a wide range of specialties and sub-specialties.

Requirements

To be considered for this role, applicants must have a High School diploma or equivalent, one year of medical billing and collections experience, and Epic experience is preferred.

Candidates should possess excellent verbal and written communication skills, strong organizational skills, ability to multitask and deal with difficult situations, knowledge of state/federal hospital regulations and medical terminology, excellent critical thinking and analytical skills, and ability to maintain confidentiality of patient information.



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