Sample Reimbursement Specialist Resume

Posted in Specialist Resume Examples

Ivan Salgado
1941 Geraldine Lane
New York, NY 10013
(111)-265-1264
[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



Create your own professional looking resume for free using our resume builder!