Posted on January 29, 2016 ยท Posted in All Postings, Medical

If you are interested in applying for this position, please email your resume to beth@sedonastaffing.com. Include in the subject line “Reimbursement Specialist”. Due to the volume of resumes received, any emails received without the proper subject will not be considered.

One of the Nation’s most respected Non-Profit, Pediatric Hospitals is currently hiring a Reimbursement Specialist. This is a great opportunity to work for California’s largest Children’s Hospital. This is a 3 month assignment with potential for long term employment.

Requirements:

  • High School Diploma, GED or foreign equivalent
  • 2 years experience as a Reimbursement Specialist/Analyst
  • Proficient in Microsoft Excel, Word and Outlook programs
  • Minimum of 18 months exp. in medical collections; preferably hospital experience
  • Experience with gov’t health plans; TriCare, Medi-cal.

Job Description:

The hiring manager is looking for a Reimbursement Specialist I who is able to work on medical denials, appeals, processing of medical claims & reimbursements, processing medical collections, and understanding of payors.

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.

Reimbursement Specialist I -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.

Schedule: Mon-Fri 8a-5p

Pay: $17/hr

Thank you for your interest, Sedona Staffing.