Reimbursement Specialist

Job Overview:

We are seeking an experienced Reimbursement Specialist to manage billing and collections for an assigned section of accounts receivable (AR). This role is responsible for submitting claims to payers, ensuring accurate records, tracking reimbursement trends and supporting team efficiency through clear communication and detailed documentation.

Responsibilities:

• Analyze AR trends using Excel and TIMS to accelerate collections
• Submit complete claim documentation to assigned payers
• Follow up on submitted claims and invoice patient balances
• Maintain detailed, accurate records in TIMS and Outlook
• Post payments, apply account adjustments, and process credit/debit memos
• Download and post electronic EOBs based on contracts
• Communicate reimbursement trends and coverage issues with management
• Collaborate with internal departments and assist other staff as needed
• Handle patient/client communication related to account statuses
• Execute timely and accurate daily billing runs
• Perform additional duties as assigned

Job Qualifications and Skills Set:

• High school diploma or equivalent
• Minimum 2 years of healthcare claims billing experience
• Excellent organizational and analytical skills
• Strong communication skills, both verbal and written
• Computer proficiency and familiarity with ERP systems (especially TIMS)
• Experience with 10-key and typing
• Detail-oriented, responsible, and a collaborative team player