Medical Reimbursement Specialist

Robert Half Medical Reimbursement Specialist South Weymouth, MA Apply Description We are looking for a skilled Medical Reimbursement Specialist to join our team on a long-term contract basis in South Weymouth, Massachusetts. In this role, you will play a vital part in supporting hospital financial operations by analyzing reimbursement processes, maintaining accurate records, and ensuring compliance with regulatory standards. This position requires a strong background in hospital billing, revenue analysis, and financial reporting.

Responsibilities:

• Analyze monthly revenue performance against budget and investigate variances related to reimbursement, volume, and charges.
• Prepare and post journal entries for contractual allowances in Accounts Receivable, ensuring accurate reconciliations.
• Collaborate with finance and departmental teams to develop and support the annual hospital budget.
• Assist in the creation of presentations for hospital leadership, providing insights into financial performance.
• Direct the preparation and filing of third-party cost reports and regulatory documentation.
• Support annual audits by preparing necessary financial data and ensuring compliance with audit standards.
• Extract and analyze data from systems such as Experian and Strata to assist in budgeting, forecasting, and productivity modeling.
• Identify opportunities to streamline processes and implement improvements to enhance operational efficiency.
• Maintain detailed records and reserves for contractual allowances to ensure financial accuracy. Requirements
• Proven experience in hospital billing and insurance reimbursement processes.
• Strong knowledge of Explanation of Benefits (EOB) and medical payment posting.
• Proficiency in analyzing financial data and preparing reports.
• Familiarity with systems such as Experian and Strata for data extraction and analysis.
• Ability to research and explain financial variances in revenue and charges.
• Experience with preparing journal entries and conducting reconciliations.
• Excellent organizational and communication skills to collaborate effectively with cross-functional teams.
• Knowledge of regulatory requirements and processes for third-party cost reporting.

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) . Active Filters Medical Reimbursement Specialist South Weymouth, MA Clear All Apply