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What does a Reimbursement Specialist do?

Learn all about Reimbursement Specialist duties, skills and much more. Get expert advice on how to become a Reimbursement Specialist.

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Brenna Goyette
Certified Professional Resume Writer, Career Expert

Published 3 min read

A reimbursement specialist is responsible for ensuring that an organization receives payment for goods or services. They may work with insurance companies, government agencies, or other businesses. Reimbursement specialists typically have a background in accounting or finance.

Reimbursement Specialist job duties include:

  • Review and process invoices for reimbursement
  • Research and resolve discrepancies on invoices
  • Prepare and process check requests
  • Maintain records of payments and invoices
  • Reconcile accounts receivable records
  • Prepare reports on reimbursement activity
  • Assist with budget preparation
  • Monitor spending trends
  • Develop and implement policies and procedures related to reimbursement
  • Train staff on reimbursement procedures

Reimbursement Specialist Job Requirements

Most reimbursement specialists have at least a bachelor's degree in accounting, business, or a related field. Many employers also require certification from the Healthcare Financial Management Association (HFMA). Reimbursement specialists typically have several years of experience working in healthcare finance or accounting.

Reimbursement Specialist Skills

  • Finance
  • Accounting
  • Billing
  • Coding
  • Auditing
  • Medical Terminology
  • Anatomy
  • Physiology
  • Pharmacology
  • Claims
  • Reimbursement

Related: Top Reimbursement Specialist Skills: Definition and Examples

How to become a Reimbursement Specialist

A reimbursement specialist is a medical professional who helps patients receive compensation for their medical expenses. They work with insurance companies to get patients the coverage they need and deserve. To become a reimbursement specialist, you will need to have a strong understanding of the medical field and the insurance industry. You will also need to be detail-oriented and have excellent communication skills. Here are a few tips on how to become a reimbursement specialist:

1. Get a degree in a relevant field. A degree in health administration, business, or accounting will give you the necessary skills to succeed in this field.

2. Gain experience in the medical field. This can be done by working in a hospital, doctor’s office, or other healthcare setting.

3. Learn about the insurance industry. It is important to understand how insurance companies work in order to get patients the coverage they need.

4. Be detail-oriented. This job requires paying close attention to detail in order to process claims correctly and efficiently.

5. Have excellent communication skills. You will need to be able to effectively communicate with patients, doctors, and insurance companies.

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