Reimbursement Specialist - Healthcare Appeals & Collections

📋 Description

• Manage outstanding healthcare Accounts Receivable and pursue timely collection of unpaid balances
• Research, evaluate, and resolve complex billing and claims issues
• Investigate insurance appeals and interpret payer-specific billing policies, clinical guidelines
• Manage assigned accounts and determine appropriate follow-up actions to support positive cash flow
• Follow up with commercial, Medicare, Medicaid, and Workers' Compensation payers regarding unpaid or
• Identify payments that do not align with contracted rates or fee schedules and appropriately

🎯 Requirements

• 5+ years of healthcare experience with a High School Diploma, or 3+ years of experience with an
• Extensive experience handling healthcare appeals, payer-specific billing policies, insurance
• Strong understanding of healthcare billing, reimbursement, and coding processes
• In-depth knowledge of third-party payers and insurance reimbursement requirements
• Experience following up with insurance payers on outstanding, unpaid, or underpaid claims
• Experience researching claim denials, determining appropriate next steps, correcting or

🎁 Benefits

• Hourly compensation of $32.00–$35.00, based on experience, qualifications, and other job-related
• Fully remote position within the United States
• Comprehensive medical, vision, and dental benefits
• Supportive and collaborative work environment
• Professional opportunity to work across healthcare reimbursement, appeals, collections, and payer
• Work environment focused on teamwork, compassion, and meaningful contributions to patient support