Full-Time Reimbursement Specialist

Reimbursement Specialist, Follow Up and Appeals

Summary: Plays a key role in driving payment for services, optimizing billing processes, and addressing complex claims.

Responsibilities:

• Tracking, reporting, and addressing outstanding claims.
• Troubleshooting EOBs (Explanation of Benefits).
• Appealing non-covered and low-pay claims.
• Following up on claims and driving positive coverage determinations.
• Managing documentation for payer communication, correspondence, and claim research.

Qualifications:

• Experience: 3+ years of healthcare reimbursement experience.
• Knowledge: Health plan regulations and processes.
• Skills: Moderate Excel skills (sorting, filtering, simple calculations), familiarity with various payers and appeal processes (state/external).
• Additional: Experience working with billing tools, Xifin, EDI enrollment, payer portals, etc.

Work Environment: Primarily desk-based with potential exposure to laboratory environment (noise, fumes, biohazard).

Benefits: Hybrid work model with in-person days for collaboration.

Salary Range: $20.52-$28.24 (US Hourly)

Company Commitment: Equal Opportunity Employer. Provides reasonable accommodations to candidates with disabilities.

What is the last date for applying to the job?

Which countries are accepted for this remote job?