Reimbursement Specialist

Home Health Reimbursement Specialist – Billing & Collections

Florida | Monday–Friday | 40 Hours/Week | On-Site

Job Summary

We're looking for an experienced Home Health Reimbursement Specialist with a strong background in medical billing and collections. This position focuses heavily on collections, claims follow-up, and reimbursement from commercial insurance payers.

The ideal candidate is a proactive problem solver with excellent critical thinking skills, strong follow-up abilities, and experience working with clearinghouses and commercial insurance payers. Hospice or Medicare Part A billing experience is a plus!

Key Responsibilities

• Monitor insurance claim status and follow up on outstanding claims.
• Research and resolve claim rejections, denials, and returned claims.
• Perform collections to ensure timely reimbursement from insurance providers.
• Work directly with commercial payers and clearinghouses to resolve claim issues.
• Audit accounts and perform mathematical calculations to identify discrepancies.
• Accurately document account activity, collections, and claim status.
• Maintain organized records while ensuring compliance with billing policies and procedures.
• Collaborate with internal teams to resolve reimbursement issues efficiently.

Minimum Qualifications

• High School Diploma or GED
• Minimum one (1) year of current medical billing or reimbursement experience
• Strong billing and collections experience
  (Collections experience is the primary focus of this role.)
• Commercial insurance payer experience required
• Experience working with clearinghouses

Knowledge of:

• Medical claims billing
• Medical terminology
• Accounts Receivable (AR)
• Accounts Payable (AP)

Strong computer skills, including:

• Microsoft Office Suite
• Medical billing software
• Database applications
• Typing speed of at least 30 WPM
• Excellent communication, customer service, and organizational skills
• Strong critical thinking and problem-solving abilities
• Comfortable making outbound calls and following up with insurance payers