Reimbursement Specialist Position Available In Duval, Florida
Tallo's Job Summary: The Reimbursement Specialist in Jacksonville, FL earns $17 per hour and is responsible for processing healthcare claims, ensuring maximum reimbursement from insurance carriers, government payers, and patients. Key duties include submitting claims, resolving denials, communicating with stakeholders, and staying updated on regulations. A high school diploma is required, with a preference for a degree in healthcare or business. This position is offered by Ascendo, promoting diversity and equal employment opportunities.
Job Description
Reimbursement Specialist 3.5 3.5 out of 5 stars
Jacksonville, FL Salary:
$17 per hour
Reference:
239856
Position Summary:
The Reimbursement Specialist is responsible for ensuring accurate and timely processing of healthcare claims to secure maximum reimbursement from insurance carriers, government payers, and patients. This role involves managing the full reimbursement cycle—from claim submission and follow-up to denial management and appeals—while maintaining compliance with payer policies and federal/state regulations.
Key Responsibilities:
Submit, track, and follow up on insurance claims to ensure timely reimbursement. Research and resolve claim denials, underpayments, and rejections through appeals or corrected claim submissions. Review Explanation of Benefits (EOBs), remittance advices, and payer correspondence to determine appropriate actions. Communicate with insurance companies, patients, and internal departments to resolve outstanding account issues. Analyze reimbursement trends and payer performance, escalating chronic issues to leadership. Maintain detailed documentation of billing and reimbursement activities in the patient accounting system. Stay up to date on payer policies, coding changes, and regulatory requirements impacting reimbursement. Collaborate with coders, charge entry staff, and providers to address coding and documentation deficiencies. Participate in audits, compliance reviews, and internal quality control processes.
Education:
High school diploma or GED required; Associate’s or Bachelor’s degree in healthcare, business, or a related field preferred. Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law. JacksonvilleAFPERM
