USMD Hospital at Arlington

Reimbursement Specialist

• Responsibilities include patient account follow up on all types of hospital claims.
• This includes following accounts through secondary and subsequent payers.
• Must have thorough knowledge of hospital managed care contracts, standard collection processes and state and federal regulations.
• An understanding of medical terminology and diagnosis and procedure coding is needed.
• Review all accounts with payments previous day.
• Review and resolve reminder queue daily.
• File secondary, tertiary, etc. paper claims as needed.
• Maintains established policies and procedures, objectives, quality assurance programs and safety standards.
• Participates in educational programs and in-services.
• Provide customer service for patients, internal customers and insurance companies as needed.
• Performs other duties as assigned.