Reimbursement Specialist - Remote

Overview

The Reimbursement Specialist is responsible for managing outstanding worker’s compensation claims by collecting payments, resolving billing issues, and minimizing the number of uncollectable accounts.

In Short

• Contact insurance payers, employers, or responsible parties to collect on outstanding accounts receivables.
• Identify and resolve improper payments, incorrect denials, billing errors, and payer discrepancies.
• Compile accurate and effective appeals and disputes to the appropriate payers and state divisions.
• Reduce the number of past due accounts through timely follow-up and escalation.
• Increase cash performance through effective collection attempts.
• Research, compile, maintain, and manage quality data related to collection efforts.
• Provide feedback to management regarding payer issues and denial trends.

Requirements

• High school diploma or equivalent.
• General Office Knowledge (Microsoft Excel and Word).
• Proper phone and email etiquette.
• Ability to review, analyze, and interpret payor reimbursements and billing guidelines.
• Detail oriented with strong analytical and organizational skills.
• Communicate professionally with employers and insurance payers.
• Strong work ethic and time management skills.
• Ability to maintain confidentiality and comply with HIPAA guidelines.

Benefits

• Opportunity to work in a fully remote environment.
• Engagement in a results-driven team.
• Professional development opportunities.