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Reimbursement Specialist
USMD Hospital at Arlington. Follow up on patient accounts for all types of hospital claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in hospital claims processing, including knowledge of Texas Medicaid and government payers, while ensuring compliance with state and federal regulations. Proficient in customer service and effective communication with patients and insurance companies.
Highest-signal resume keywords
Hospital Claims ProcessingTexas Medicaid ExperienceMedical Terminology UnderstandingMicrosoft Office LiteracyManaged Care Contracts Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Hospital Claims Follow-UpPayment PostingDiagnosis CodingProcedure CodingStandard Collection Processes
Soft Skills
Effective CommunicationCustomer ServiceAttention to DetailInstruction ComprehensionMathematical Skills
Tools & Technologies
MeditechElectronic Payment Systems
Industry Keywords
Quality Assurance ProgramsSafety StandardsHuman Resource PoliciesProlonged SittingData Entry
About the role
Key responsibilities & impact- Follow up on patient accounts for all types of hospital claims
- Follow accounts through secondary and subsequent payers
- Review all accounts with payments from the previous day
- Review and resolve the reminder queue daily
- File secondary, tertiary, and other paper claims as needed
- Maintain established policies, procedures, objectives, quality assurance programs, and safety standards
- Participate in educational programs and in-services
- Provide customer service to patients, internal customers, and insurance companies
- Post electronic payments received daily
- Print bank statements and review payments received
- Print and file payment batches by date and batch number
- Perform other duties as assigned
Requirements
What you’ll need- High School diploma or equivalent required
- Minimum three years of experience as a hospital collector
- At least 2 years' experience with Texas Medicaid and government payers
- Thorough knowledge of hospital managed care contracts, standard collection processes, and state and federal regulations
- Understanding of medical terminology and diagnosis and procedure coding
- Microsoft Office literacy
- Meditech experience is a plus
- Ability to communicate effectively and professionally by phone and in writing
- Good math skills
- Ability to receive, comprehend, and carry out instructions
- Ability to work safely with equipment, supplies, and materials
- Ability to comply with attendance requirements and Human Resource policies
- Ability to meet the stated physical demands, including prolonged sitting and data entry
Benefits
Comp & perks- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- Participation in educational programs and in-services