Reimbursement Specialist I

2 months ago


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

Rady Children's Hospital is seeking a skilled Reimbursement Specialist I to join our team. The successful candidate will be responsible for managing commercial, government, and managed care payor accounts, ensuring timely and accurate reimbursement. Key responsibilities include:

* Identifying and resolving payor issues through effective communication and negotiation
* Analyzing complex payor contract language to optimize reimbursement calculations
* Utilizing internet resources and professional communication skills to collect outstanding account balances
* Composing professional written correspondence with internal and external entities

To be successful in this role, the ideal candidate will possess:

* A high school diploma or equivalent
* 2 years of experience in a related field
* Proficiency in Microsoft Excel, Word, and Outlook

Preferred qualifications include an associate's degree and 3 years of experience. The expected hiring range for this position is $21.00 to $28.88. Rady Children's Hospital is committed to competitive and equitable compensation. Compensation decisions consider factors such as experience, education, and unique skillsets. This posting will remain open until a sufficient applicant pool is established or the position is filled. Rady Children's Hospital is an equal opportunity employer.



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