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1
reimbursement specialist
- Calling insurance companies for patient information.
- Scanning documents into multiple hospital programs.
- Utilizing office equipment such as: fax machines, scanners, and copiers.
- Releasing electronic fund transfers into the Bank of America system.
2
reimbursement specialist
- Analyze the claims and work accordingly in resolving the claim.
- Assists in developing metrics to be used for ongoing monitoring.
- Works toward meeting institutional goal of increasing revenue through improved claims management.
- Assists in developing metrics to be used for ongoing monitoring.
3
reimbursement specialist
- Accurately apply approximately $30 million in client payments per month and process reimbursements to their employees in a timely manner.
- Closely monitor clients’ payment and report approval status to ensure their employees receive their reimbursements on the scheduled pay dates.
- Process payment adjustments (check stop payments, ACH debits and credits) to clients’ employees per client requests.
- Create ACH debits from clients’ bank accounts for the funding of their employees’ reimbursements.
- Reconcile all client accounts on a monthly basis and process refunds as needed.
- Provide superior customer service to clients and their employees.
- Build collaborative relationships with clients.
4
reimbursement specialist
- Worked closely with CFO gathering information for spreadsheets.
- Monthly collection reports.
- Bad debt collections.
- Re bill services to the correct insurances.
5
reimbursement specialist
- Initiated and submit appeals and reconsideration
- Clear payment variances, resolve differences, and initiate corrective action.
- Review and communicate with agencies to educate them about expectations for clean claims.
- Prepare adjusted and corrected bills and adjust entries in accordance with existing operating procedures.
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