Account Reimbursement Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Identify, investigate, and resolve unpaid claims.

• Utilize payor portals to follow up on submitted claims.

• Contact insurance companies when claims are denied.

• Collaborate with both commercial and government payers.

• Research denials and rejections along with payor policies.

• Submit reconsiderations and appeals for claims.

• Document all account activity diligently.

• Manage requests for medical records.

• Track and analyze payor-related issues.

• Work in partnership with Billing, Cash Posting, Contracting, and Intake to resolve account issues.

• Follow up with patients regarding outstanding account balances, including unapplied cash.

• Carry out additional duties as assigned.

⛳️ Requirements

• A minimum of three (3) years’ experience in a healthcare environment focused on following up and resolving outstanding insurance balances.

• A high school diploma or GED is required.

• Three years of experience in medical insurance collections is necessary.

• Pharmacy/Infusion experience is preferred.

• Familiarity with the insurance denials process and healthcare claims processing/follow-ups is essential.

• Knowledge of denials processing and claims is required.

• Ability to manage multiple priorities and tasks effectively.

• Strong attention to detail is a must.

• Excellent verbal and written communication skills are necessary.

• Strong analytical skills are required.

• Proficient computer skills including Outlook, Excel, Word, and others.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and growth.

• Supportive work environment with a focus on teamwork.

• Comprehensive health and wellness programs.