Job Description
About the Role: The Billing – Reimbursement Specialist is responsible for managing accounts receivable, resolving unpaid or denied claims, and ensuring timely reimbursement from insurance carriers and customers. This role works closely with internal teams and third-party partners to support accurate billing processes and maintain compliance with healthcare regulations. Key Responsibilities: Review
8:00 AM
Pull your AR worklist. Claims are sorted by payer, days in AR, and dollar amount. Priority: anything over 60 days old and over $1,…
8:30 AM
Work a batch of Medicare claims stuck in 'processing' status. Log in to the Medicare FISS portal, check claim status on each one.…
9:30 AM
Call the Cigna provider line for a claim that's been in process for 45 days. On hold for 18 minutes. The rep tells you the claim w…
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