Senior Contract Reimbursement Specialist (Remote)

University of Miami; Florida; Remote; USD 52,000 - 65,000; Full time

Job summary

University of Miami seeks a Senior Contract Reimbursement Representative (H) to ensure accurate reimbursement practices. The role supports credit balance operations, liaises with payers, patients, and vendors, and processes refunds and appeals in a fast-paced environment.

The position requires at least a high school diploma and 1 year of medical billing/collections experience, with EPIC experience preferred.

Qualifications

• High school graduate.
• 1 year of medical billing and collections experience.
• EPIC experience preferred.
• Excellent verbal and written communication skills in English.
• Strong organizational skills and ability to multi-task under pressure.
• Knowledge of state/federal hospital regulations and medical terminology.
• Excellent critical thinking, analytical, problem-solving, interpersonal and customer service skills.
• Ability to maintain confidentiality of patient information.

Responsibilities

• Review and analyze credits within the assigned WQs for proper resolution with payers, patients, and entities.
• Review and interpret contract rates to ensure proper reimbursement and EOBs.
• Serve as liaison between Credit Balance Unit and external departments, vendors, patients, and third parties.
• Review refund requests from payers and patients for validity.
• Submit appeal letters within deadlines.
• Apply Florida Statutes to commercial payers.
• Assess patients' coverage and eligibility and pre-authorizations.
• Process refunds via check, credit card portal, and wire transfer.
• Provide ongoing in-service training for onboarding staff and vendors.

Skills

Medical billing & collections

Communication skills

Organizational skills

Multi-tasking under pressure

Confidentiality

Education

High school diploma

Tools

EPIC

Job description

University of Miami seeks a Senior Contract Reimbursement Representative (H) to ensure accurate reimbursement practices. The role supports credit balance operations, liaises with payers, patients, and vendors, and processes refunds and appeals in a fast-paced environment.

The position requires at least a high school diploma and 1 year of medical billing/collections experience, with EPIC experience preferred.