Rady Children's Hospital San Diego Reimbursement Specialist I-50220 in San Diego, California

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. It is a requirement for the Reimbursement Specialist I 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. The Reimbursement Specialist I is required to compose professional written correspondence with all internal and external entities. This position expects the Reimbursement Specialist I to demonstrate organization and time management skills to manage account collections.

MINIMUM QUALIFICATIONS:

High School Diploma, GED, or foreign equivalent

2 years of experience

Proficient in Microsoft Excel, Word and Outlook

PREFERRED QUALIFICATIONS:

Associate's Degree

Three years of experience