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Reimbursement specialist vs specialist

The differences between reimbursement specialists and specialists can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a reimbursement specialist, becoming a specialist takes usually requires 1-2 years. Additionally, a specialist has an average salary of $58,013, which is higher than the $38,273 average annual salary of a reimbursement specialist.

The top three skills for a reimbursement specialist include patients, customer service and appeals. The most important skills for a specialist are patients, customer service, and work ethic.

Reimbursement specialist vs specialist overview

Reimbursement SpecialistSpecialist
Yearly salary$38,273$58,013
Hourly rate$18.40$27.89
Growth rate11%10%
Number of jobs32,292358,433
Job satisfaction--
Most common degreeBachelor's Degree, 40%Bachelor's Degree, 49%
Average age4542
Years of experience122

What does a reimbursement specialist do?

A reimbursement specialist is responsible for analyzing insurance documents, processing reimbursement claims, and releasing accurate billing statements for insurance claims. Reimbursement specialists must have excellent analytical skills, especially on performing clerical tasks to evaluate insurance cases, investigate cases, and update the account information of the clients on the database. They should also have impeccable communication skills and understanding of the insurance processes to be able to coordinate with the clients, explaining the procedures of their claims accurately, and coordinate with the insurance management to improve the claims processes.

What does a specialist do?

Specialists are employees who are responsible for specific tasks or activities in the department they are assigned to. The actions or tasks they work on are related to their educational background or work experiences. They are usually highly skilled in specializations related to the work they are assigned to. Specialists are also highly trained on the competencies that are required of their specialty. As such, they are focused on the skills and competencies that are needed to enhance their experience in their specific field further.

Reimbursement specialist vs specialist salary

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

Reimbursement SpecialistSpecialist
Average salary$38,273$58,013
Salary rangeBetween $29,000 And $49,000Between $32,000 And $104,000
Highest paying CityLynchburg, VAJersey City, NJ
Highest paying stateVirginiaNew Jersey
Best paying companyNovartisThe Citadel
Best paying industryPharmaceutical-

Differences between reimbursement specialist and specialist education

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

Reimbursement SpecialistSpecialist
Most common degreeBachelor's Degree, 40%Bachelor's Degree, 49%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaStanford University

Reimbursement specialist vs specialist demographics

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

Reimbursement SpecialistSpecialist
Average age4542
Gender ratioMale, 15.2% Female, 84.8%Male, 47.5% Female, 52.5%
Race ratioBlack or African American, 9.8% Unknown, 4.2% Hispanic or Latino, 16.9% Asian, 8.1% White, 59.8% American Indian and Alaska Native, 1.3%Black or African American, 11.4% Unknown, 5.4% Hispanic or Latino, 16.4% Asian, 10.5% White, 55.9% American Indian and Alaska Native, 0.4%
LGBT Percentage9%11%

Differences between reimbursement specialist and specialist duties and responsibilities

Reimbursement specialist example responsibilities.

  • Manage the EDI clearinghouse rejections.
  • Process department payroll, order supplies, and manage petty-cash funds.
  • Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
  • Manage cases by aggressively directing the litigation process.
  • Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
  • Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.
  • Show more

Specialist example responsibilities.

  • Create, manage, and assist users with SharePoint sites.
  • Manage an on-site IRB and company good clinical practice (GCP) inspection.
  • Manage SharePoint sites by creating, editing, and customizing company sites, libraries and security.
  • Manage the building of accounts, assigning of static IP's, and scheduling of business class installations.
  • Convert servers from UNIX to Linux, all hardware diagnostics and repair including printers/plotters/desktops etc.
  • Follow safety procedures such as maintenance of all equipment (Telxon scanners, terminals and ladders).
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Reimbursement specialist vs specialist skills

Common reimbursement specialist skills
  • Patients, 20%
  • Customer Service, 9%
  • Appeals, 6%
  • CPT, 5%
  • Medicare, 4%
  • Medicaid, 4%
Common specialist skills
  • Patients, 15%
  • Customer Service, 11%
  • Work Ethic, 5%
  • Patient Care, 4%
  • Exceptional Client, 4%
  • Troubleshoot, 4%

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