Job Details

Reimbursement Representative

Reimbursement Representative is responsible for reviewing Accounts Receivable credit balances and recommending refunds where appropriate and submitting adjustments as necessary. The Reimbursement Representative reviews insurance company requests for refunds and determines their validity and handles accordingly. Also assists with posting adjustments submitted by other units.

Job Requirements

Minimum Education

• High School Diploma

Minimum Work Experience

• 2 years of experience in insurance, billing, or collections

Required Licenses/Certifications

Required Skills, Knowledge, and Abilities

• Knowledge of medical practices, terminology, and reimbursement policies.
• Knowledge of managing medical and administrative staff.
• Skill in planning, organizing, delegating, and supervising.
• Skill in evaluating the effectiveness of existing methods and procedures.
• Skill in problem solving.
• Skill in verbal and written communication.
• Ability to read, interpret, and apply policies and procedures.
• Ability to set priorities among multiple requests.
• Ability to interact with patients, medical and administrative staff, and the public effectively.