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Reimbursement Specialist I – Sunburst

The Reimbursement Specialist I – Sunburst reviews Sunburst sales for appropriate documentation,
generates and bills claims and/or invoices, follows up on unpaid accounts, and provides support and
customer service to the Financial Operations Analyst/Program Management Office regarding billing
concerns.

Essential Duties and Responsibilities:
  • Processes and posts revenue, making changes/adjustments as needed
  • Ensures sales have appropriate documentation such as nursing notes, worker timecards, purchase order, and other payer requirements as appropriate
  • Accurately generates invoices and bills a variety of payer sources via mail, email, fax, or VMS portal
  • Researches and follows up on unpaid accounts after expected payment timeframe
  • Processes timely payments to staffing suppliers in accordance to terms within our supplier agreements
  • Validates/processes adjustments to invoices per client request and validation with payee (agency)
  • Follows all quality processes for department/team to avoid preventable write-offs and improve collections efforts
  • Provides great customer service for our office clients, staffing suppliers, partners, program management office, and other team members
  • Keeps Financial Operations Analyst/Director of Business Intelligence & Finance informed of problem accounts or potential impacts to cash collections and AR
  • Performs other duties as assigned
Minimum Requirements:
  • High school diploma or equivalent is required; undergraduate degree preferred
  • Experience in medical billing, accounts receivable, and/or collections preferred
  • Quick and accurate alpha/numeric data entry skills
  • Proficiency in Microsoft Office, including a working knowledge of Microsoft Word, Excel and web-enabled applications
  • Excellent customer service skills
  • Exhibit excellent work ethic and commitment to job responsibilities
  • Must be a self-starter with ability to work well as part of a team and independently
  • Must present a positive image that reflects well on the organization
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