Overview Join our dynamic healthcare team as a Reimbursement Specialist, where your expertise will drive the accurate and efficient processing of medical claims and reimbursements. In this vital role, you will serve as a key connector between healthcare providers, insurance companies, and patients, ensuring that billing processes are seamless and compliant. Your proactive approach will help optimize revenue cycles, resolve claim issues swiftly, and uphold the highest standards of customer service. If you thrive in a fast-paced environment and are passionate about healthcare finance, this is the opportunity to make a meaningful impact every day. Responsibilities Review and process healthcare claims using billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems to ensure accuracy and completeness. Apply knowledge of DRG (Diagnosis-Related Group), CPT coding (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards to classify diagnoses and procedures correctly. Identify and resolve claim denials related to medical records discrepancies, coding errors, or incomplete documentation by collaborating with providers and insurance companies. Manage medical collections by following up on outstanding balances, negotiating payment plans, and ensuring timely reimbursements. Maintain detailed documentation of all billing activities, claim submissions, adjustments, and correspondence in compliance with healthcare regulations. Stay updated on health insurance policies, claims management procedures, and changes in medical coding standards to ensure ongoing compliance. Provide exceptional customer service by addressing inquiries from patients, providers, or insurance representatives promptly and professionally. Experience Strong understanding of healthcare claims management processes including familiarity with EMR/EHR systems and billing software platforms. Knowledge of medical terminology, medical records management, and coding systems such as

DRG, CPT

coding, ICD-9/10. Experience working with health insurance policies and processing complex medical claims efficiently. Excellent organizational skills with attention to detail to ensure accuracy in all billing activities. Ability to communicate clearly with diverse stakeholders including healthcare providers, insurance companies, and patients. Prior exposure to Microsoft Office tools for reporting and documentation purposes is preferred.

J Pay:

$45,000.00 - $68,000.00 per year

Benefits:

401(k)

Work Location:

In person