Reimbursement Specialist

Responsibilities

• Performs moderately complex medical billing and account receivable follow‑up functions.
• Batches and submits claims to multiple insurance companies and tracks reimbursement.
• Enters EOB correspondence, payments, and denials.
• Reworks rejections, conducts reconsiderations and appeals, submits medical records, and reconciles issues with insurance companies.
• Monitors dual coverage clients to ensure accurate billing.
• Runs various reports to monitor claims and accounts receivable.
• Communicates with peers, consumers, and management regarding insurance or claims issues.
• Assists and/or serves as backup in any billing area and performs other duties as requested by supervisor.
• Works under moderate supervision with considerable latitude for the use of initiative and independent judgment.

Requirements

• High school diploma or General Education Degree (GED).
• Two (2) years of related experience and/or training, or an equivalent combination of education and experience.
• Knowledge of billing and coding requirements, regulations, and claims clearinghouse experience is required.
• Must have reliable transportation and a valid driver’s license.
• Preference: Minimum 3 years of billing experience.
• Must have a valid Texas driver’s license.

Skills

• Good communication skills.
• Well organized.
• Self‑starter.
• Ability to complete assigned duties in a timely manner.
• Knowledge of MS Word, Excel, medical practice management systems, and intermediate computer operational skills is a plus.