ES - Reimbursement Specialist

Enlightened Recovery; Egg Harbor Township (NJ); On-site; USD 30,000 - 34,000; Full time

Job summary

Enlightened Recovery in Egg Harbor City, NJ is seeking a Reimbursement Specialist to manage high-volume insurance collections for substance abuse and behavioral health services. The role requires attention to detail and strong communication with payers, clients, and providers.

You will work to resolve denials, ensure timely reimbursement, and maintain accurate patient data in billing systems, contributing to overall revenue cycle performance.

Qualifications

• 2 years of experience in medical billing or collections.
• Experience with aging AR, payer deadlines, and denial resolution.
• Ability to enter patient data into billing software.
• Strong attention to detail and time management.

Responsibilities

• Run and review aging accounts receivable reports and appeals.
• Enter patient demographics and insurance information into billing software.
• Communicate with insurance companies and clients to resolve reimbursement issues.
• Follow up on outstanding receivables billed to insurance companies.
• Knowledge of major payers and high-volume insurance collections.

Skills

Medical billing

Accounts receivable

Analytical skills

Time management

Communication skills

Education

High school diploma

Tools

Billing software

Microsoft Office

Job description

ES - Reimbursement Specialist# ES - Reimbursement SpecialistHot JobEgg Harbor City, NJ 08215## OverviewSalary Range$22.00 - $25.00 HourlyPosition TypeFull TimeJob ShiftDay## Description**Enlightened Recovery****Now Hiring: Reimbursement Specialist**Enlightened Recovery is seeking a Substance Abuse Reimbursement Specialist to join our billing team. This role is responsible for managing high-volume insurance collections and reimbursement for substance abuse and behavioral health services. The ideal candidate has at least two years of experience in medical billing or collections. **Key Responsibilities:**Experience with running and reviewing aging accounts receivable reports, appeals, corrected claims, and reconsiderations within payer deadlines and the ability to resolve claim denials, payment discrepancies, and reimbursement issuesAbility to enter patient details into billing software and maintain patient accounts including but not limited to demographics, insurance information, diagnosis codes.The ability to read and review incoming correspondence from insurance payers and online sites and resolve any billing issues that delay reimbursement and effectively communicate with insurance companies, clients, healthcare providers, and communicate to manage any issues related to reimbursement of claimsResponsible for the timely follow-up on outstanding receivable accounts that are billed to insurance companies.The ability to handle high-volume insurance collections for substance abuse and behavioral health claims, with knowledge of major payers and provide accurate documentation of communications, preferred**Come join our team!**We offer a supportive environment, competitive wages, incentive programs, and a comprehensive benefits package including:* Health and wellness benefits (e.g., medical, dental, vision, prescription)* Time off benefits (10 vacation days in the first year, sick leave, 8 holiday’s)* Financial security benefits (Profit Sharing, 401(k) feature, life insurance, etc.)FSA, DCA, employer funded HRA...and more!## Qualifications**Requirements:*** High School Diploma or equivalent* 2-year experience, preferred* Out of Network Billing Experience* Proficient Computer Skills; Experienced in Microsoft Office skills (Excel, Word, Outlook)* Written and oral communication skills are required* Ability to work independently* Possess strong attention to detail, accuracy, time management and organization skills* Possess strong analytical and problem-solving skills* Support coworkers by working as a team and engaging in a positive work environment* Ability to manage multiple tasks with ease