Remote Reimbursement Specialist

Job Title: Remote Reimbursement Specialist

Location: (Remote) United States, Florida, Virginia, North Carolina, Tennessee, Maryland, Pennsylvania, Arizona, Ohio,

Company Overview: Join our dynamic team that is a leading provider of healthcare solutions dedicated to improving patient outcomes and streamlining reimbursement processes. We are committed to delivering exceptional service and support to our clients and their patients. Our innovative approach and cutting-edge technology enable us to remain at the forefront of the healthcare industry.

Position Overview: We are seeking a detail-oriented and motivated Remote Reimbursement Specialist to join our team. The ideal candidate will have a strong understanding of medical billing, insurance reimbursement processes, and healthcare regulations. This role is critical in ensuring accurate and timely reimbursement for our clients, maintaining compliance, and providing excellent customer service.

Key Responsibilities:

• Review and process medical claims for reimbursement in accordance with payer guidelines and company policies.
• Verify insurance coverage and benefits for patients, ensuring accurate billing and coding.
• Submit claims electronically or via paper to insurance companies, following up on unpaid or denied claims.
• Resolve claim discrepancies, denials, and appeals by conducting thorough research and communicating with insurance companies and patients.
• Maintain up-to-date knowledge of industry regulations, payer policies, and coding guidelines.
• Collaborate with healthcare providers, billing departments, and insurance companies to ensure accurate and efficient reimbursement processes.
• Generate and analyze reimbursement reports to identify trends, issues, and opportunities for process improvement.
• Assist patients with billing inquiries, providing clear explanations and resolving any concerns.
• Ensure compliance with HIPAA and other regulatory requirements in all reimbursement activities.
• Participate in regular team meetings, training sessions, and continuing education to stay current with industry changes and best practices.

Qualifications:

• High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, business, or a related field preferred.
• Minimum of 2 years of experience in medical billing, coding, or reimbursement, preferably in a remote or virtual setting.
• Strong knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.
• Familiarity with insurance processes, including Medicare, Medicaid, and commercial payers.
• Proficiency in using electronic health records (EHR) systems and billing software.
• Excellent communication and interpersonal skills, with the ability to interact professionally with clients, patients, and insurance companies.
• Strong analytical and problem-solving skills, with keen attention to detail.
• Ability to work independently, manage time effectively, and prioritize tasks in a remote work environment.
• Commitment to maintaining confidentiality and adhering to ethical standards in all work activities.

Benefits:

• Competitive salary and performance-based incentives.
• Comprehensive health, dental, and vision insurance.
• Flexible work schedule and remote work opportunities.
• Paid time off (PTO) and holidays.
• Professional development and continuing education opportunities.
• Supportive and collaborative team environment.

How to Apply: Interested candidates are encouraged to submit your resume and a cover letter detailing their relevant experience and qualifications for this opportunity.

TalentLNX is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Join us and contribute to our mission of enhancing patient care through efficient and accurate reimbursement processes. We look forward to welcoming you to our team!