Reimbursement Specialist II

The Reimbursement Specialist II is responsible for collecting on all outstanding balances for a specific group of payors to ensure maximum reimbursement, including complex tasks such as payor research, root cause analysis, and problem resolution.

Requirements

• Collect on all outstanding balances for a specific group of payors to assure maximum reimbursement
• Work aged accounts, process appeals and corrected claims, research and reconcile credit balance accounts, and process adjustments as needed
• Interact with payers and management team to ensure timely collections of accounts
• Demonstrate excellent performance by identifying and resolving AR related issues with sustained improvement in cash collections
• Regularly demonstrate independent collection, problem identification, and resolution skills
• Escalating and resolving issues with payor supervisors, managers, and provider relations
• Participating in team meetings and collaborating with Reimbursement Specialists across the enterprise to replicate payor best practices
• Comply with applicable CLIA, HIPAA, and Compliance standards

Benefits

• Paid Time Off
• 401k Matching
• Retirement Plan
• Health Insurance