Reimbursement Specialist

Job Overview

The Reimbursement Specialist is responsible for managing billing and collections for an assigned portion of accounts receivable (AR) in a healthcare environment. This includes timely claims submission, payment posting, invoicing patient balances and identifying reimbursement trends. The role requires strong organizational skills, attention to detail and experience with AR analysis tools like Excel and TIMS.

Responsibilities

• Submit claims and follow up with payers, ensuring timely reimbursement
• Analyze AR trends using Excel and TIMS to identify issues and accelerate collections
• Communicate payer coverage criteria and reimbursement trends with management
• Maintain complete and accurate claims documentation in TIMS and Outlook calendars
• Coordinate with internal departments to resolve payment delays or discrepancies
• Contact patients regarding account balances as needed
• Execute daily billing runs with high accuracy
• Post payments, adjustments, and balance changes following policy
• Charge credit cards, download EOBs, and post payments per contract terms
• Organize patient documentation (electronic and paper files)
• Support teamwork through courteous interaction and shared responsibilities

Job Qualifications and Skills Set

Education:

• High school diploma or equivalent required

Experience & Skills:

• Minimum of 2 years’ experience in healthcare claims billing
• Proficiency in Excel and 10-key typing
• Experience with ERP systems such as TIMS
• Excellent written and verbal communication skills
• Strong organizational and analytical capabilities
• High level of computer literacy
• Detail-oriented and dependable team player