Reimbursement Specialist

Job Overview

We are looking for a Reimbursement Specialist to oversee claims billing and accounts receivable collections. This role requires strong analytical skills, attention to detail and a deep understanding of claims workflows. You will handle end-to-end billing submissions, AR follow-up and patient invoicing to ensure timely reimbursement and accurate account records.

Responsibilities

• Submit complete electronic and paper claims to assigned payers
• Analyze AR using Excel and ERP tools (e.g., TIMS) to spot trends and resolve issues
• Take timely and error-free action to accelerate collections
• Maintain thorough documentation in the company ERP and calendar system
• Communicate reimbursement trends and payer issues to management
• Follow up on outstanding balances and invoice patient cash portions
• Post payments, adjust balances and reconcile credit/debit memos
• Charge credit card payments when required
• Download and post Electronic EOBs based on contract agreements
• File all claims and payment-related documents in both electronic and paper formats
• Collaborate with other departments and assist teammates as needed
• Communicate with clients/patients about account status
• Execute daily billing runs accurately
• Perform additional tasks as assigned

Job Qualifications and Skills Set

• Experience in medical billing, AR collections or reimbursement roles
• Proficiency in Microsoft Excel and billing platforms (TIMS or similar)
• Strong analytical and problem-solving skills
• Excellent verbal and written communication
• Detail-oriented with excellent organizational habits
• Familiarity with EOBs, claims submission, payment posting and patient billing
• Ability to work independently and in coordination with other departments
• Can start right away