Provider Reimbursement Specialist

Job Summary

A company is looking for a Provider Reimbursement Specialist to join their team remotely.

Key Responsibilities

• Review and manage claim issues submitted by Skilled Nursing Facilities (SNF) and document them in the tracking system
• Research and analyze claim issues to identify root causes and coordinate resolutions with internal partners
• Provide feedback and education to SNFs to minimize billing errors and ensure compliance with regulations

Required Qualifications

• High School Diploma / GED (or higher)
• 4+ years of health care/managed care experience
• 2+ years of CSP claim processing experience
• 1+ year of experience with Medicare and Medicaid regulations
• Intermediate proficiency with Microsoft Word, Excel, PowerPoint, and Access