Sample Reimbursement Specialist Resume

Posted in Specialist Resume Examples

Ivan Salgado
1941 Geraldine Lane
New York, NY 10013

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.


Bachelor’s Degree in Health Care Administration
Clermont College, Batavia, OH

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