Patient Financial Services Reimbursement Specialist I

The Patient Financial Services Reimbursement Specialist I coordinates and monitors patient financial services daily, including billing compliance and accounts receivable functions. This role involves processing claims, managing payments and denials, and providing customer service to ensure accurate reimbursement. The specialist also ensures compliance with regulations and updates account information.

Requirements

• Accurately processes claims, payments, rejections, refunds, credit balances and unapplied cash.
• Confirms electronic and hard-copy billing of any delinquent claims.
• Answers patient and payer inquiries.
• Adheres to federal, state and department compliance policies.
• Maintains contract management reporting.
• Regular, reliable and predictable attendance.