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Reimbursement Specialist I
2 months ago
Under the direction of Rady Children's Hospital Leadership, the Reimbursement Specialist I is responsible for managing the billing and collections process for commercial, government, and managed care payors. This role requires strong analytical and communication skills to identify and resolve payor issues, read and interpret complex payor contract language, and pursue all payments due to the organization.
Key Responsibilities:- Identify and report payor issues to leadership
- Read, interpret, and apply complex payor contract language to expected reimbursement calculations
- Pursue all payments due to the organization
- Perform account collection activities utilizing internet resources and professional telephone communication etiquette
- Compose professional written correspondence with internal and external entities
- HS Diploma, GED, or Equivalent
- 2 Years of Experience
- Proficient in Microsoft Excel, Word, and Outlook programs
- Associate's degree
- 3 Years of Experience
The expected hiring range for this position is $21.00 to $28.88. Rady Children's Hospital is committed to compensation that is externally competitive and internally equitable.
