Remote Reimbursement Specialist

Overview

The Reimbursement Specialist is an entry level role responsible for early-stage follow-up on Workers’ Compensation claims, verifying claim status, resubmitting bills, and updating documentation.

In Short

• Verify claim receipt and processing status.
• Utilize various applications to validate status.
• Resubmit invoices and appeal packets.
• Apply analytical thinking to resolve claims.
• Document call activity and payer communication.
• Escalate complex claims to senior staff.
• Research and update claim details using UHS systems.
• Follow standardized workflows for compliance.
• Communicate professionally with payers and departments.
• Maintain performance metrics and initiatives.

Requirements

• High school diploma, some college preferred.
• Experience in call centers or healthcare roles beneficial.
• Strong written and verbal communication skills.
• Strong analytical skills with attention to detail.
• Highly organized and able to manage portfolios.
• Ability to work independently and meet goals.
• Proficient in Microsoft Office.

Benefits

• Dynamic role with potential for additional tasks.
• Opportunity to work in a fast-paced environment.
• Professional growth within the healthcare industry.