JOB DESCRIPTION:

Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing & collections of outstanding account balances for commercial, government, & managed care payors as assigned. The Reimbursement Specialist I is required to identify & report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret & apply complex payor contract language to expected reimbursement calculations & pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources & professional telephone communication etiquette. The Reimbursement Specialist I is required to compose professional written correspondence with all internal & external entities.

REQUIREMENTS:

• H.S Diploma, GED or Equivalent
• 2 Years of Experience as a Healthcare Reimbursement Specialist
• Proficiency in Microsoft products: Excel, Word and Outlook
• Ability to review denials/underpayments and know corrective actions to take based on the denial rationale and reason codes
• Medi-Cal Homecare billing
  Job Type: Contract
  Pay: $21.00 - $28.00 per hour

Experience:

• Reimbursement Specialist : 2 years (Preferred)
• Medical billing: 2 years (Required)
• Hospital: 2 years (Required)

Work Location: In perso

Please refer the Job description for details