Reimbursement Specialist Resume

When writing a Reimbursement Specialist Resume remember to include your relevant work history and skills according to the job you are applying for. Whether you're seeking an entry-level position or have been in your career for a few years, exposing your relevant achievements in your resume can allow you to stand out and get that job interview.

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Here is the Reimbursement Specialist Resume example:

Ivan Salgado

1941 Geraldine Lane

New York, NY 10013

(555)-555-5555

[email]

Job Objective To secure a position as Reimbursement Specialist with a reputable company where my skills can grow and help strengthen the company.

Highlights of Qualifications:

Huge Medical billing and reimbursement experience
Wide knowledge of CPT and ICD 9 CM coding, governmental and HIPAA mandated patient confidentiality regulations
Ability to provide education and trend analysis related to reimbursement
Good understanding of third party and government payer regulations
In-depth knowledge of collection procedures and medical terminology
Extensive knowledge of HCFA 1500, UB 92, ICD9 and CPT coding
Proficient with Microsoft Word, Excel and Web-enabled applications
Excellent written and oral communication skills

Professional Experience:

Reimbursement Specialist

UPMC, New York, NY

May 2006 – Present

Developed the accurate clean claims and submitted to third party payers and patients.
Handled all the explanations of Benefits.
Gathered the information from carrier and patient when services billed are rejected.
Checked all the admission forms and Medicare waiver are obtained back.
Gathered monthly collection and DSO (Days Sales Outstanding).

Reimbursement Specialist

Organogenesis, Inc, New York, NY

March 2003 – April 2006

Checked the patient’s insurance benefits.
Recognized the network providers, provider restrictions, co-pays as needed.
Documented the activities appropriately in progress notes.
Prepared the written communication to customers regarding reimbursement status.
Communicated with the team members on an as needed basis.
Gathered and entered the data for distributor referral cases.

Education

Bachelor’s Degree in Health Care Administration

Clermont College, Batavia, OH