Reimbursement Specialist

About the role

The Reimbursement Specialist will compile, review, and process billing and accounts receivable documents, insurance bills and payments, and prepare and maintain all accounts receivable and patient service revenue records and reports.

Responsibilities

• Prepares, reviews, and submits monthly billings according to established procedures.
• Matches bills with census and identifies discrepancies; reviews patient billing revenues for accuracy.
• Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
• Reviews and corrects accounts receivable bills/records before transmission or mailing.
• Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
• Completes billing audits to ensure accuracy and/or compliance.
• Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.

Requirements

• Associates Degree with one year previous billing/medical office related experience preferred.
• Demonstrated experience in general healthcare billing practices; proficiency with billing software and Netsmart, HCHB EMR within 3 months of post-hire.
• Knowledge of Medicare/Medicaid billing regulations.
• Knowledge and familiarity with medical terminology.
• Strong interpersonal, communication and customer service skills.
• Strong PC skills, including proficiency in Microsoft Office Suite, database applications and medical billing applications.

Qualifications

Associates Degree with one year previous billing/medical office related experience preferred.

Skills

• Knowledge of Medicare/Medicaid billing regulations.
• Knowledge and familiarity with medical terminology.
• Strong interpersonal, communication and customer service skills.
• Strong PC skills, including proficiency in Microsoft Office Suite, database applications and medical billing applications.

Benefits

• Earn Competitive Pay: Your skills and contributions are recognized and rewarded.
• Benefits & Wellness: Medical, dental, vision, life insurance, retirement with company match, plus wellness programs to support your mind and body.
• Industry-Leading PTO: 5+ weeks to rest, recharge, and live your Full Life.
• Grow Your Career: CEU support, tuition reimbursement, and advancement opportunities.
• Make a Difference: Join a mission-driven team dedicated to kindness, compassion, and Full Life Care for All.

Pay

Competitive pay based on experience and qualifications.

Schedule

Full-time position.