Reimbursement Specialist I
Rady Children's Hospital - Rady Children's Plaza - San Diego, CA

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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.


High School Diploma, GED, or foreign equivalent

Associate degree, CPAT or CPAM certification preferred or equivalent work experience

2 years of experience required

Proficient in Microsoft Excel, Word and Outlook programs


Associate's Degree

Graduation from a formal billing or accounts receivable training program or comparable college coursework


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