Medical Reimbursement Specialist

Medical Reimbursement Specialist Lawall Prosthetic and Orthotic Services

• 3.5 Langhorne, PA Job Details Full-time 1 day ago Qualifications Revenue cycle management Appeals Microsoft Excel Medicare Writing skills Insurance claim appeals processing Data reporting Mid-level HCPCS Medical insurance appeals management Cross-functional collaboration Medical terminology Communication skills Full Job Description Medical Reimbursement Specialist (3 Full-time positions)
• full time
• in-office
• 8am to 4:30pm Are you a detail-driven insurance expert who thrives on solving problems and getting claims paid?

Join our team! The Medical Reimbursement Specialist plays a key role in the revenue cycle by ensuring accurate and timely reimbursement for services rendered. This position works closely with insurance payors to resolve claim issues, reduce denials, and support overall financial performance.

Key Responsibilities:

Monitor and manage aged accounts receivable, focusing on claim follow-up and resolution. Analyze denial trends and initiate corrective action, including writing effective appeals. Collaborate across departments to meet team goals and improve cash collections. Interpret and apply. Medicare and commercial insurance policies accurately. Utilize knowledge of HCPCS codes, modifiers, and medical terminology to resolve billing issues. Maintain detailed documentation and ensure compliance with all payer requirements.

Qualifications:

Proven experience in medical billing/accounts receivable, preferably in a high-volume setting. Strong understanding of Medicare regulations and payer-specific guidelines. Excellent written communication skills, especially in crafting appeals. Advanced proficiency in Microsoft Excel for tracking and reporting AR data. Demonstrated problem-solving skills and attention to detail. Knowledge of medical terminology, HCPCS codes, and modifier usage. Team-oriented mindset with a strong sense of accountability and goal achievement. Why Join Us? Collaborative and supportive work culture Opportunities for growth and professional development Competitive salary and benefits package Ready to take the next step in your AR career? Apply today and help us ensure every claim gets the attention it deserves! We offer great pay to work in great place. If you are someone looking to use your talents to help patients meet their needs, then we want to hear from you. This is a drug-free workplace and all job offers will be contingent on passing a drug screen and a favorable pre-employment background check.