Healthcare Reimbursement & Dispute Resolution Specialist

RemX; Texas; Sur place; USD 26 000 - 37 000; Plein temps

Résumé du poste

RemX is seeking a detail-oriented Healthcare Reimbursement & Dispute Resolution Specialist for a growing healthcare organization in Houston, TX. The role focuses on investigating payment discrepancies, analyzing billing documentation, and coordinating with insurance carriers and providers to resolve payment issues.

The ideal candidate has 3+ years of experience in medical billing or revenue cycle management and strong communication and analytical skills.

Qualifications

• Minimum 3 years of experience in medical billing, healthcare claims, revenue cycle management, accounts receivable, reimbursement, collections, or a related healthcare administrative role.
• Strong understanding of EOBs, insurance payments, claims adjudication, and reimbursement processes.
• Experience reviewing healthcare billing and payment-related documentation.
• Excellent written and verbal communication skills; strong analytical, problem-solving, and investigative abilities.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• Ability to manage multiple priorities in a fast-paced environment.
• Exceptional attention to detail and organizational skills.

Responsabilités

• Review and analyze Explanation of Benefits (EOBs), remittance advices, and payment documentation.
• Determine payment responsibility and identify required actions for dispute resolution and billing activities.
• Research healthcare claims, reimbursement details, and payment records for accuracy and completeness.
• Prepare professional written correspondence related to invoices, payment postings, fee collections, and refunds.
• Communicate with healthcare providers, insurance carriers, and health plans via phone and email to obtain necessary documentation and payment information.
• Investigate and resolve billing discrepancies and outstanding payment issues.
• Maintain accurate electronic records and documentation for all resolved and refunded disputes.
• Ensure compliance with applicable healthcare regulations, internal policies, and established procedures.
• Monitor assigned cases and meet required deadlines while maintaining a high level of accuracy.

Connaissances

Detail-oriented

Analytical thinking

Communication skills

Multitasking

Investigative abilities

Outils

Microsoft Office

Description du poste

Job Description

RemX is seeking a detail-oriented Healthcare Reimbursement & Dispute Resolution Specialist for a growing healthcare organization. This is an excellent opportunity for individuals with experience in medical billing, revenue cycle management, claims processing, healthcare collections, insurance reimbursement, or accounts receivable.

Location: Houston, TX 77018
Schedule: Monday-Friday, 8:00 AM-5:00 PM
Pay Rate: $23.00/hour
Position Type: Temporary-to-Hire

The ideal candidate enjoys investigating payment discrepancies, analyzing complex healthcare billing documentation, and communicating with insurance carriers and healthcare providers to ensure accurate resolution of payment-related matters.

Responsibilities

• Review and analyze Explanation of Benefits (EOBs), remittance advices, and payment documentation.
• Determine payment responsibility and identify required actions for dispute resolution and billing activities.
• Research healthcare claims, reimbursement details, and payment records for accuracy and completeness.
• Prepare professional written correspondence related to invoices, payment postings, fee collections, and refunds.
• Communicate with healthcare providers, insurance carriers, and health plans via phone and email to obtain necessary documentation and payment information.
• Investigate and resolve billing discrepancies and outstanding payment issues.
• Maintain accurate electronic records and documentation for all resolved and refunded disputes.
• Ensure compliance with applicable healthcare regulations, internal policies, and established procedures.
• Monitor assigned cases and meet required deadlines while maintaining a high level of accuracy.

Qualifications

• Minimum 3 years of experience in medical billing, healthcare claims, revenue cycle management, accounts receivable, reimbursement, collections, or a related healthcare administrative role.
• Strong understanding of EOBs, insurance payments, claims adjudication, and reimbursement processes.
• Experience reviewing healthcare billing and payment-related documentation.
• Excellent written and verbal communication skills.Strong analytical, problem-solving, and investigative abilities.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• Ability to manage multiple priorities in a fast-paced environment.
• Exceptional attention to detail and organizational skills.