Reimbursement Specialist Jobs

Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing & collections of outstanding account balances for commercial, government, & managed care payors as assigned. The Reimbursement Specialist I is required to identify & report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret & apply complex payor contract language to expected reimbursement calculations & pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources & professional telephone communication etiquette. The Reimbursement Specialist I is required to compose professional written correspondence with all internal & external entities.

Requirements:

- H.S Diploma, GED or Equivalent

- 2 Years of Experience as a Healthcare Reimbursment Specialist

- Proficiency in microsoft products: Excel, Word and Outlook

- Ability to review denials/underpayments and know corrective actions to take based on the denial rationale and reason codes