Reimbursement Specialist

Responsibilities:

• Resolve aged claims and appeals via payer portals & outbound phone calls.
• Identify claims that need a first, second, or third level appeal.
• Assist teammates with projects and denial work queue management.

Denials and appeals:

• Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims.
• Identify non-payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims.
• Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team.

Qualifications:

• High school diploma or equivalent.
• 3-5 years’ experience in medical billing with molecular laboratory billing experience.
• Working knowledge of health insurance and terminology.