Reimbursement specialist
Core
Verify client commercial insurance coverage, enter benefit data, and resolve billing discrepancies, denials, and appeals.
Role type
Reimbursement Specialist
Builds
Accurate billing records and resolved insurance claims
Domain
Healthcare administration / Insurance billing
Deliverable
client delivery
Required skills
Insurance process knowledge (HMO/PPO, Medicare, Medicaid), data entry, auditing, eligibility analysis, HIPAA compliance, problem-solving
Preferred skills
Advanced Excel proficiency, Microsoft Office suite
Technologies
Excel, Outlook, Microsoft Word, Billing Systems
Responsibilities
Obtain and verify commercial insurance coverage; Enter and update client benefit information in billing systems; Conduct auditing and resolution tasks for coverage inquiries; Analyze daily eligibility reports; Collaborate with billing representatives to resolve insurance concerns; Identify and implement process improvements
Seniority
Individual Contributor