Reimbursement Specialist I

3 weeks ago


San Diego, California, United States Rady Children's Hospital Full time
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.

This position requires the ability 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.

This role also requires composing professional written correspondence with all internal and external entities.

The Reimbursement Specialist I is expected to demonstrate organization and time management skills to manage account collections.

Minimum Qualifications:

  • HS Diploma, GED or Equivalent
  • 2 Years of Experience
  • Proficient in Microsoft Excel, Word, and Outlook programs

Preferred Qualifications:

  • Associate's degree
  • 3 Years of Experience

Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable.

We demonstrate this commitment by conducting regular market reviews to remain competitive with organizations of similar size in the nonprofit, healthcare sector.

The range listed above does not represent the full salary range for the position but is the expected hiring range for qualified candidates.

Compensation decisions consider a variety of factors including experience, education, licensure, unique skillsets, organizational need, and internal equity.

This position is open until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.



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