Reimbursement Specialist

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

📋 Description

• Conducting research and monitoring specific billing concerns, trends, and potential risks.

• Reviewing claims to ensure they are submitted with all necessary pre-claim requirements accurately.

• Tracking claims status and generating reports to effectively manage workflow.

• Analyzing denied or unpaid claims and implementing appropriate corrective measures.

• Providing administrative assistance to department(s), including data entry and maintaining records.

• Utilizing payor portals to verify eligibility, prior authorization, and claim or appeal statuses.

• Supporting patients in navigating their financial journey with empathy and precision.

• Confirming insurance and recipient benefits with Medicare, Medicaid, and private insurance payers.

⛳️ Requirements

• High school diploma or GED is required.

• An associate's or bachelor's degree in healthcare administration, business, or a related field is preferred.

• A minimum of 2 years of experience in medical billing, insurance claims, or revenue cycle operations.

• Knowledge of HIPAA compliance and healthcare privacy regulations.

• Experience with payer portals and systems for tracking claims.

• Excellent attention to detail and strong organizational capabilities.

• Proficient in Microsoft Office, particularly Word and Excel.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• Paid time off.

• Flexible work arrangements.

• Opportunities for professional development.