| Reimbursement Services Specialist Job Description |
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| The following is a full job description for Reimbursement Services Specialist. Here are the requirements and responsibilities for Reimbursement Services Specialist along with statistics. If after reading this page you determine that Reimbursement Services Specialist is not the position you are looking for, you may want to try one of these similar titles: Reimbursement Services Coordinator, Reimbursement Services Director, VP of Reimbursement Services, Community Relations Specialist IV, Payment Recovery Specialist, Implementation Specialist IV, Client Service Specialist IV, Office Services Professional IV, Legal Services Director |
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| Requirements and Responsibilities For Reimbursement Services Specialist |
| Analyzes, maintains, and reports financial data regarding claims to third-party payers. Validates claim accuracy and payment amounts to ensure services correspond with appropriate coding and charges. Monitors claim processing and investigates denied or delayed claims to facilitate resolution and reimbursement. Develops and generates reports on claim statuses, reimbursement trends, and denial patterns to identify opportunities for process improvements. Requires an associate degree. Typically reports to a manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. |
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| Also referred to as: Claims Reimbursement Analyst, Reimbursement Services Analyst |
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| Similar Jobs: Reimbursement Services Coordinator, Reimbursement Services Director, VP of Reimbursement Services, Community Relations Specialist IV, Payment Recovery Specialist, Implementation Specialist IV, Client Service Specialist IV, Office Services Professional IV, Legal Services Director |
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| Level of Education: Reimbursement Services Specialist Salaries with No Diploma, Reimbursement Services Specialist Salaries with a High School Diploma or Technical Certificate, Reimbursement Services Specialist Salaries with an Associate's Degree, Reimbursement Services Specialist Salaries with a Bachelor's Degree, Reimbursement Services Specialist Salaries with a Master's Degree or MBA, Reimbursement Services Specialist Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
