Reimbursement Collections Specialist

Denial Management

Analyze denial trends and identify root causes to support corrective action plans.
Collaborate with Billing, Authorizations, Reimbursement Operations, and Contracting teams to resolve recurring payer issues.
Escalate systemic reimbursement concerns and recommend process improvements.

Accounts Receivable Management

• Maintain and prioritize follow-up activities based on aging, payer requirements, and financial impact.
• Maintain accuracy and completeness of documentation of all account activity.
• Meet established productivity, quality, and collection performance metrics.
• Utilize payer portals, reporting tools, and internal systems to research claim status and document account activity.
• Afford assistance with reporting related to collections performance, reimbursement trends, and payer behaviors.
• Ensure all collection activities are completed in compliance with payer guidelines, HIPAA requirements, and company policies.

Required Education & Experience

• 3-5 years of experience in healthcare reimbursement, collections, accounts receivable, or medical billing.
• Working knowledge of commercial, workers compensation, and/or government payer reimbursement processes.

Preferred Experience

• Experience in durable medical equipment (DME), home medical equipment (HME), or healthcare revenue cycle management.
• Experience with Brightree or other healthcare billing/collections platforms.

Skills & Competencies

• Strong analytical skills with the ability to identify reimbursement trends and root causes.
• Proficiency in Microsoft Excel, Teams, Outlook, and other business applications.
• Ability to interpret explanation of benefits (EOBs), remittance advice, and payer policies.
• Ability to work independently while balancing competing priorities.
• Strong organizational and time management skills.
• Ability to adapt effectively in a fast-paced and evolving environment.

Benefits

• Total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts.