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. The ideal candidate will be results-driven and able to focus on key performance metrics to ensure quality and efficiency standards set forth by the company are met.

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.
• Demonstrates a strong work ethic and manages time effectively.
• Ability to balance productivity with high-quality work standards.
• Adaptable with the ability to learn new programs quickly.
• Maintain confidentiality and HIPAA compliance.

Benefits

• Details about benefits are not provided in the job description.