Job Description
job Summary:
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.
- REMOTE POSITION, must still be living in PST zone***
Requirements
- High School Diploma, GED or Equivalent
- 2 years of experience
- EPIC experience
- Proficiency in Microsoft Excel, Word and Outlook programs
- Proficiency in sending paper claims, paper appeals and refund requests