The Reimbursement Services Representative reviews and verifies policy details, coverage, and completeness of claim submissions. Submits claims to third-party payers, ensuring accurate and timely payment for services. Being a Reimbursement Services Representative provides guidance to patients and providers regarding coverage limits, copayments, and other claim requirements. Liaises with insurance companies, providers, and patients to resolve discrepancies or obtain additional information. In addition, Reimbursement Services Representative maintains accurate records of claims, payments, and appeals in adherence to regulatory standards, requirements, and guidelines. May require an associate degree. Typically reports to a supervisor. Being a Reimbursement Services Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Working as a Reimbursement Services Representative typically requires 1-3 years of related experience.
Reimbursement Services Coordinator submits claims to third-party payers, ensuring accurate and timely payment for services. Reviews and verifies policy details, coverage, and completeness of claim submissions. Being a Reimbursement Services Coordinator liaises with insurance companies, providers, and patients to resolve discrepancies or obtain additional information. Provides guidance to patients and providers regarding coverage limits, copayments, and other claim requirements. Additionally, Reimbursement Services Coordinator maintains accurate records of claims, payments, and appeals in adherence to regulatory standards, requirements, and guidelines. May require an associate degree. Typically reports to a supervisor. The Reimbursement Services Coordinator works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Reimbursement Services Coordinator typically requires 1-3 years of related experience.
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