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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.