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Revenue Reimbursement Specialist, Full Time

ICFAI

Description The Revenue Reimbursement Specialist will be responsible for researching and analyzing accounts to diagnose reasons for under payment or non-payment of claims. Duties include ascertaining trends that emerge during review and helping develop strategies to correct and ensure successful reimbursement. Monitor and investigate all governmental requests, including ADRs, CERTS, MACs, and RACs, and all other revenue‑driven denials and requests. Guide and coordinate with hospital staff in developing responses. Identify the need for changes in policies, procedures, documentation strategies, and protocols based on regulatory requirements and make appropriate recommendations. Shift

M-F, 8:30 AM - 5:00 PM

Requirements 3-5 years of related work experience required Associate’s Degree in Finance, Business, Accounting or a Healthcare specific field preferred Good communication skills Proficiency in the use of a calculator, personal computers and business software (e.g., Word, Outlook, Excel, etc.) Good working knowledge of Medicare, Medicaid, welfare agencies, insurances, etc. required Excellent problem‑solving skills Comfortable with receiving challenging assignments and able to flourish in stressful situations Must possess full range of body motion to pass basic FIT test for position, including walking, kneeling, standing, pushing, pulling, bending, stooping, reaching and sitting for extended periods of time Must be able to lift and carry up to 30 pounds #J-18808-Ljbffr ICFAI

Vacancy posted 3 days ago
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