Reimbursement Specialist I
3 weeks ago
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.
-
Reimbursement Specialist I
3 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeJob 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 II
4 weeks ago
San Diego, California, United States San Ysidro Health Center Full timeJob SummaryThe Reimbursement Specialist II is a key member of our revenue cycle team, responsible for ensuring accurate and timely reimbursement for medical, dental, and hospital claims. This role requires strong analytical and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesPrepare and transmit...
-
Financial Specialist
3 weeks ago
San Diego, California, United States vTech Solution Full timeJob Summary:As a Reimbursement Specialist at vTech Solution, you will be responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors. This role requires strong analytical and communication skills to identify and report payor issues to leadership.The ideal candidate will have proficiency in...
-
Ambulatory Care Specialist I
4 weeks ago
San Diego, California, United States B. Braun Medical Inc Full timeB. Braun Medical Inc. is seeking a highly skilled Ambulatory Care Specialist I to join our team. As a key member of our sales and service team, you will be responsible for representing and promoting our full portfolio of IV Systems, Regional Anesthesia Products, and portable ultrasound equipment to established customers and developing new...
-
Financial Specialist
4 weeks ago
San Diego, California, United States vTech Solution Full timeReimbursement Specialist IAt vTech Solution, we are seeking a highly skilled Reimbursement Specialist I to join our team. As a Reimbursement Specialist I, you will be responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned.Key Responsibilities:Identify and report payor issues to...
-
Reimbursement and Contracts Specialist
3 weeks ago
San Diego, California, United States PROMETHEUS LABORATORIES INC Full timeJob DescriptionPrometheus Laboratories Inc. is seeking a skilled Reimbursement and Contracts Specialist to support the Health Systems, Market Access, Payor Relations, and Legal teams. This role will involve managing contracts, facilitating communication between teams, and ensuring that contracts are processed and documented appropriately.Key...
-
Reimbursement Specialist
4 weeks ago
San Francisco, California, United States Guardant Health Full timeJob Title: Reimbursement SpecialistGuardant Health is a leading precision oncology company dedicated to helping conquer cancer globally through its proprietary tests, vast data sets, and advanced analytics. We are seeking a skilled Reimbursement Specialist to join our team in Spring, Texas.Job Summary:As a Reimbursement Specialist, you will play a critical...
-
Developmental Specialist I
3 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:As a Developmental Specialist I at Rady Children's Hospital, you will provide clinical services to children under general supervision. This includes screening, assessment, treatment planning, and intervention support. You will also provide educational information to patients, parents, and families regarding their child's developmental needs....
-
Developmental Specialist I
4 weeks ago
San Diego, California, United States Rady Children's Hospital Full timeJob Summary:As a Developmental Specialist I at Rady Children's Hospital, you will provide clinical services to children, including screening, assessment, treatment planning, and intervention support. You will also provide educational information to patients, parents, and families regarding their child's developmental needs. Additionally, you will serve as a...
-
ARM Reimbursement Specialist
3 weeks ago
San Diego, California, United States Vets Hired Full timeAbout the JobAs an Access & Reimbursement Manager (ARM) at Vets Hired, you will play a critical role in supporting patient access to our therapeutic area products. Your key responsibilities will include interacting with assigned accounts to provide proactive education on product-specific programs, analyzing reimbursement issues and opportunities, and...
-
Software Support Specialist I
4 weeks ago
San Diego, California, United States Vets Hired Full timeAbout the JobAs a Software Support Specialist I at Vets Hired, you will be responsible for providing direct customer support with professional interaction by responding to incoming requests for service, prioritizing urgency of calls, researching issues, and responding back to clients in a timely manner.Key Responsibilities:Provide direct customer support...
-
San Diego, California, United States The Heil Co Full timeAt The Heil Co, we're committed to delivering innovative solutions that drive business growth and sustainability. As an Implementation Specialist I, you'll play a key role in helping our clients succeed by implementing technical systems, software, and hardware solutions.Key Responsibilities:Evaluate client needs and develop configurations that support...
-
Caregiver - Resident Assistant
4 weeks ago
San Diego, California, United States Senior Living Recruiting Specialist Full timeWe are seeking a compassionate and dedicated Caregiver and Resident Assistant to join our team at Senior Living Recruiting Specialist. As a Caregiver and Resident Assistant, you will provide exceptional care and support to our residents, ensuring their physical, emotional, and social needs are met.This is a unique opportunity to make a meaningful difference...
-
San Diego, California, United States Vets Hired Full timeAbout the JobAs an Access and Reimbursement Manager for Vets Hired, you will play a critical role in supporting patient access to specialty pharmacy products. Your key responsibilities will include interacting with assigned accounts to provide proactive education on product-specific programs, analyzing reimbursement issues and opportunities, and maintaining...
-
Data Specialist I
4 weeks ago
San Jose, California, United States FOUNDATION FOR HISPANIC EDUCATION Full timeJob Title: Data Specialist IJob Summary:The Data Specialist I will be responsible for managing student data related to testing and state/local reporting. This includes overseeing test scheduling, proctoring, distribution, logistics, scoring, inventory management, training, and ongoing maintenance.The ideal candidate will have a strong understanding of...
-
Accounting Assistant I
4 weeks ago
San Diego, California, United States Vets Hired Full timeAccounting Assistant IAt Vets Hired, we're seeking a detail-oriented and organized Accounting Assistant I to join our team. As an Accounting Assistant I, you will play a crucial role in supporting our financial operations by processing and tracking invoices, maintaining spreadsheets, and reviewing procurement card transactions for university compliance.Key...
-
Accounts Payable Specialist I
4 weeks ago
San Diego, California, United States Builders FirstSource Full timeIgnite Your Career at Builders FirstSourceAre you looking for a challenging and rewarding role in accounting? Do you have a passion for numbers and a desire to work in a dynamic and growing company? If so, we have an exciting opportunity for you!As an Accounts Payable Specialist I at Builders FirstSource, you will be responsible for accurately and timely...
-
Reimbursement and Prior Authorization Specialist
3 weeks ago
San Francisco, California, United States Guardant Health Full timeAbout the RoleGuardant Health is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our team, you will play a critical role in ensuring timely and accurate reimbursement for our patients.Key ResponsibilitiesDevelop and maintain a database of payer authorization requirementsManage documentation for appropriate payer...
-
Network Systems Specialist
4 weeks ago
San Diego, California, United States M I Technical Solutions, Inc. Full timeJob SummaryAs a Network Engineer with M I Technical Solutions, Inc., you will work closely with U.S. Navy personnel to design, implement, and maintain temporary networks. Our team ensures continuity of day-to-day operations during extended periods of maintenance and upgrades for US Navy ships.Key Responsibilities: Maintain and evaluate network systems and...
-
PDE Analyst I
4 weeks ago
San Diego, California, United States MedImpact Full timeJob Title: PDE Analyst IMedImpact is seeking a highly skilled PDE Analyst I to join our team. As a PDE Analyst I, you will be responsible for analyzing, calculating, and validating Medicare Prescription Drug Event (PDE) files for our clients.Key Responsibilities:Oversee the end-to-end PDE file generation process for assigned clients, extracting Medicare Part...