Reimbursement Specialist - Insurance Verification - Remote

Overview

The Reimbursement Specialist - Insurance Verification will support front-end reimbursement activities, ensuring accurate insurance verification, benefits investigation, and documentation to support timely billing across various insurance plans.

In Short

• Verify patient insurance coverage, eligibility, and benefits.
• Enter and maintain patient demographic and insurance information.
• Obtain necessary medical records for priority payers.
• Collaborate with internal teams and healthcare providers.
• Identify and recommend solutions for reimbursement delays.
• Maintain documentation of eligibility verification and payer communications.
• Communicate with patients regarding insurance processes.
• Utilize systems and tools to support reimbursement activities.
• Review payer correspondence and ensure compliance with regulations.
• Fully remote role with occasional travel for trainings and meetings.

Requirements

• 4+ years of experience in reimbursement or insurance verification.
• Bachelor's degree or equivalent experience.
• Experience with Xifin, Quadax, or Telcor preferred.
• Strong understanding of medical benefit structures.
• Knowledge of CPT, ICD-10, and HCPCS coding.
• Excellent problem-solving and communication skills.
• Organizational and time-management skills.
• Ability to adapt to changing business needs.
• Self-starter who can work independently.

Benefits

• Competitive compensation.
• Work/life balance.
• Remote work opportunities.