Reimbursement Specialist

Job Summary

Working remotely on a full-time basis, the Reimbursement Specialist will ensure timely and accurate processing of insurance claims, secure payments from insurance entities and customers, and collaborate with Customer Sales Support to maintain data accuracy.

Key responsibilities

• Reviews patient documentation to ensure compliance with medical criteria before claim submission
• Creates and submits healthcare claims to insurance companies while communicating with patients about their claim status
• Handles inbound and outbound calls regarding insurance claims and negotiates payment plans as necessary

Required qualifications

• BA/BS or equivalent combination of education and applicable job experience
• 2+ years of experience in medical billing or equivalent experience
• Experience in a HIPAA controlled environment is required
• Understanding of medical billing, insurance claim processing, and HCFA 1500 billing form requirements
• Experience with MS Office suite and customer relationship management systems (CRM)