Reimbursement Cover Letter

I would like to submit my application for the reimbursement opening. Please accept this letter and the attached resume.

In the previous role, I was responsible for input on payer value proposition and development of reimbursement acumen relative to the total account strategy at both a payer and provider level within assigned division.

Please consider my qualifications and experience:

• Minimum typing speed of 50 words for minute and 10-key speed of 9,500 per hour
• Perform healthcare information and medical claims processing, healthcare billing and collection services, and provides financial guidance regarding hospital, HMO, clinical services to patients, their families and third-party representatives
• Excellent data entry and 10-key skills with strong focus on accuracy
• Experience with athenaCollector and Anodyne preferred
• Familiar with modifiers, CPT, and ICD-9 resources in Athena
• Familiar with the process of credentialing
• Typical physical demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard
• General knowledge of Medicaid and private health insurance

I submit this application to express my sincere interest in the reimbursement position.

In the previous role, I was responsible for medicare/Medicaid/Champus reimbursement education/training to the Reimbursement Services staff and other financial/facility staff.

Please consider my experience and qualifications for this position:

• CSR skills as this will be working in a call center environment making outbound and taking inbound calls
• Pharmacy Techs work very well in this role as long as they have the above experience
• Bachelor's in Health Care Administration, Public Health, Finance, Business, Marketing, Communications
• Possess excellent organization
• CPC, CCS-P, CPC-P, and/or RHIT
• Working knowledge of computer programs and spreadsheet applications
• Knowledge of and the Minnesota Medicaid program rules and regulations
• Knowledge of medical insurance billing, collections and contracts

I would like to submit my application for the reimbursement opening. Please accept this letter and the attached resume.

Previously, I was responsible for financial leadership to the public & private payer teams to successfully negotiate and implement rebate agreements through market analysis, financial impact modeling, and strategy formation.

My experience is an excellent fit for the list of requirements in this job:

• Review files to determine underpayment and notate account findings
• Research/ identify, evaluate/ update, and communicate major payor changes and activities
• Abide by all of the applicable policies, procedures and guidelines of NorthShore and assist in the administration or the NorthShore Corporate Compliance Plan
• Recognized Holidays- Nov 22-24, Dec 22 - Dec 25, Dec 29 - Jan 1
• Knowledge of U.S. healthcare provider payment systems (physician, in-patient/out-patient hospital, ambulatory surgery system, ), with emphasis on Medicare payment systems
• Understanding of payer eligibility and benefits healthcare research
• In-depth understanding of the CV healthcare payer environment
• CV marketing or sales experience

I would like to submit my application for the reimbursement opening. Please accept this letter and the attached resume.

In the previous role, I was responsible for expertise and –guidance to marketing research on Payer and Reimbursement related projects, interpret and analyze findings and infuse learning’s into the brand team.

Please consider my qualifications and experience:

• Payer account management experience
• Strong knowledge of patient assistance programs, healthcare benefits, coordination of benefits (COB) highly preferred
• Very strong management techniques
• Clinical knowledge as it pertains to program
• Knowledge of Managed Care contract language
• Knowledge of information systems and healthcare applications
• Experience with preparation of Medicare and Medicaid cost reports for acute care entities
• Experience verifying insurance coverage/benefits - calling insurance plans and talking through the process

I am excited to be applying for the position of reimbursement. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for analysis and support in the use of net revenue from third parties, such as Medicare Medicaid and Blue Cross (PSR, SPCL, and experience reports).

Please consider my qualifications and experience:

• Experience working as a Team Player while balancing team and individual responsibilities as a Team Leader
• Able to adapt to changes in the work environment, manage competing demands, and change approach or methodologies to best fit the situation
• Demonstrated proficiency in Microsoft Office programs, including Excel
• Advanced Microsoft office and data manipulation skills
• Will require excellent communication skills both verbal and written
• Strong working knowledge of Microsoft Excel, Microsoft Word, Access
• Management responsibilities will consist of managing projects, programs and vendors
• Able to operate with significant autonomy