Reimbursement Specialist

Home Health Reimbursement Specialist Job Summary:

The Home Health Reimbursement Specialist is responsible for monitoring claim status, researching claim rejections and denials, documenting account activities, and managing collections for assigned payers. Key Responsibilities Accurately perform mathematical computations and audit data to identify errors. Review and resolve claim rejections, denials, and returned claims. Conduct all necessary follow-up activities to ensure timely collection of payments from insurance providers. Maintain clear, accurate, and detailed documentation of account statuses and related activities. Manage assigned payer accounts and support reimbursement processes. Required Skills & Experience Minimum of one (1) year of current relevant experience. Ability to work effectively in a team environment while independently managing assigned responsibilities. Strong interpersonal, communication, and customer service skills. Knowledge of medical terminology. Proficiency in Microsoft Office Suite, database applications, and medical billing software. Ability to type at least 30 words per minute (WPM). Preferred Skills & Experience One (1) year of home health billing experience. Experience with collections involving Medicaid, Managed Care/Insurance, and Private Payers. Experience using WellSky (Kinnser).

Education :

High School Diploma or GED. Preferred Associate's Degree.

Pay:

$25.00 per hour

Benefits:

Flexible schedule Retirement plan Application Question(s): Which payer types have you worked with? (Select all that apply.) Medicare Medicaid Managed Care/Commercial Insurance Private Payers None of the above How many years of experience do you have working in medical billing, claims processing, reimbursement, or accounts receivable? Do you have experience reviewing and resolving claim denials, rejections, and returned claims? Do you have experience in home health billing or reimbursement? How comfortable are you with researching unpaid claims and following up with insurance providers to secure payment? Which medical billing or electronic health record (EHR) systems have you used? Please list all that apply, including WellSky (Kinnser) if applicable. Are you familiar with medical terminology and its application in claims review and reimbursement processes? How would you rate your proficiency with Microsoft Office applications, particularly Excel and Outlook? Beginner Intermediate Advanced This role requires maintaining accurate account documentation and managing multiple follow-up tasks. Are you comfortable working in a detail-oriented, deadline-driven environment? Are you able to type at least 30 words per minute and efficiently navigate multiple computer applications during your workday?

Work Location:

In person