Lead Account Reimbursement Specialist

Job Summary

Lead Account Reimbursement Specialist, a full-time position responsible for coordinating the billing and follow-up process with payers and patients, analyzing insurance denial trends, and mentoring peers.

Key Responsibilities

• Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances
• Serves as a liaison with insurance companies and administrative personnel while analyzing financial data to resolve reimbursement issues
• Prepares and maintains complex reports and performs account audits and other complex projects

Required Qualifications

• High School Diploma or GED
• 5 years of relevant work experience
• Intermediate knowledge of coding systems such as ICD-10-CM/PCS
• Intermediate understanding of revenue cycle processes
• Ability to perform data entry efficiently and accurately