Job SummaryThe Reimbursement Specialist I is responsible for supporting the accurate and timely processing of claims and reimbursement activities. This role involves verifying account information, applying appropriate codes, and ensuring compliance with billing and reimbursement guidelines. The Reimbursement Specialist I collaborates with team members to maintain efficient workflows and contributes to meeting productivity and accuracy standards within the department.Essential Functions
Processes and verifies claims and reimbursement transactions to ensure accuracy and compliance with guidelines.
Reviews account balances and applies appropriate transaction codes to facilitate accurate account flow.
Identifies any discrepancies in claims and takes appropriate actions, including adjustments or referrals as necessary.
Monitors account status to ensure timely follow-up on outstanding balances and claims.
Maintains departmental productivity and quality standards, adhering to established timelines.
Performs other duties as assigned.
Complies with all policies and standards.
Qualifications
H.S. Diploma or GED required
Coursework in Accounting, Finance, Healthcare Administration, or related field preferred
0-1 years in billing, accounts receivable, or reimbursement, ideally within a healthcare setting required
Knowledge, Skills and Abilities
Knowledge of basic billing, reimbursement, and transaction processing principles.
Proficiency with account management software and department-specific technology.
Strong attention to detail to ensure accuracy in claim processing.
Effective communication skills to work collaboratively within the team.
Ability to meet productivity standards and contribute to departmental goals.
Equal Employment OpportunityThis organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.
