Post job

Reimbursement analyst vs records specialist

The differences between reimbursement analysts and records specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a reimbursement analyst and a records specialist. Additionally, a reimbursement analyst has an average salary of $65,489, which is higher than the $33,273 average annual salary of a records specialist.

The top three skills for a reimbursement analyst include patients, medicare and medicaid. The most important skills for a records specialist are customer service, data entry, and office equipment.

Reimbursement analyst vs records specialist overview

Reimbursement AnalystRecords Specialist
Yearly salary$65,489$33,273
Hourly rate$31.49$16.00
Growth rate11%11%
Number of jobs10,21628,647
Job satisfaction--
Most common degreeBachelor's Degree, 62%Bachelor's Degree, 47%
Average age4545
Years of experience1212

What does a reimbursement analyst do?

A reimbursement analyst is responsible for determining patients' billing statements and approving reimbursement claims. Reimbursement analysts review reimbursement requests, respond to patients' inquiries and concerns, and resolve billing discrepancies. They also validate patients' information and medical documents to support claims and process reimbursement efficiently. A reimbursement analyst must have excellent analytical and communication skills, as well as have extensive knowledge of the reimbursement policies and procedures to release payments and manage the patients' eligibility for reimbursement.

What does a records specialist do?

Records Specialists are administrative professionals who help manage the records of the company. These records may be physical documents or digital copies that are stored in a database. Records Specialists may assist in creating filing systems and knowledge management systems to ensure that the records they keep are easily accessible. They also keep an organized list or database of all the documents that are with them. Records Specialists are in charge of pulling up records upon the request of different departments or individuals. If they are working with physical copies, they ensure that these documents are returned to them. If they are working with digital copies, they ensure that the files they share are kept confidential. Records Specialists may also be in charge of analyzing trends and creating records-related reports.

Reimbursement analyst vs records specialist salary

Reimbursement analysts and records specialists have different pay scales, as shown below.

Reimbursement AnalystRecords Specialist
Average salary$65,489$33,273
Salary rangeBetween $48,000 And $87,000Between $26,000 And $42,000
Highest paying CityQuincy, MASan Mateo, CA
Highest paying stateMassachusettsOregon
Best paying companyTufts Health PlanMt. San Antonio College
Best paying industryPharmaceuticalGovernment

Differences between reimbursement analyst and records specialist education

There are a few differences between a reimbursement analyst and a records specialist in terms of educational background:

Reimbursement AnalystRecords Specialist
Most common degreeBachelor's Degree, 62%Bachelor's Degree, 47%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Reimbursement analyst vs records specialist demographics

Here are the differences between reimbursement analysts' and records specialists' demographics:

Reimbursement AnalystRecords Specialist
Average age4545
Gender ratioMale, 27.4% Female, 72.6%Male, 29.8% Female, 70.2%
Race ratioBlack or African American, 9.9% Unknown, 4.2% Hispanic or Latino, 16.4% Asian, 8.4% White, 59.9% American Indian and Alaska Native, 1.2%Black or African American, 8.9% Unknown, 4.2% Hispanic or Latino, 17.5% Asian, 8.5% White, 59.6% American Indian and Alaska Native, 1.3%
LGBT Percentage9%9%

Differences between reimbursement analyst and records specialist duties and responsibilities

Reimbursement analyst example responsibilities.

  • Cultivate relationships with key contacts at insurance companies and manage care organizations, CMS and medical professional societies.
  • Contract interpretation and enforcement of the agreement with multiple medical insurance companies through written and oral appeals is accomplished daily.
  • Coordinate third party audits, defend preferential reporting practices and maintain current knowledge of Medicare and Medicaid reimbursement regulations.
  • Update Meditech charge master with correct pharmacy pricing and HCPCS codes.
  • Provide overall follow-up and coordination with Medicare and Medicare HMO plans and process with Medicare and Medicare HMO adjustments.
  • Train on and implement eClinicalworks for several physician practices, taking them live from paper to full electronic medical records.
  • Show more

Records specialist example responsibilities.

  • Develop numerous SQL scripts/queries for monitoring and managing the system.
  • Manage thousands of cases for several firms with deadlines for depositions while ensuring accuracy, confidentiality, and HIPAA compliance.
  • Train and mentore employees in EDMS.
  • Process project records for retention in EDMS.
  • Represent DOJ at an ODNI language training conference.
  • Liaise with GIS group to resolve mapping issues.
  • Show more

Reimbursement analyst vs records specialist skills

Common reimbursement analyst skills
  • Patients, 11%
  • Medicare, 7%
  • Medicaid, 7%
  • Home Health, 5%
  • Appeals, 5%
  • Revenue Cycle, 4%
Common records specialist skills
  • Customer Service, 25%
  • Data Entry, 14%
  • Office Equipment, 5%
  • Word Processing, 5%
  • Database Systems, 5%
  • Management System, 5%

Browse healthcare practitioner and technical jobs