Healthcare Reimbursement Specialist: Maximize Payer Payments

Bronson Healthcare; Portage (WI); On-site; USD 42,000 - 64,000; Full time

Job summary

Bronson Healthcare in Portage, Wisconsin, is seeking a Reimbursement Specialist to manage billing from third-party payers, posting payments and ensuring accuracy with CPT-4/ICD-10 codes. This role emphasizes compliance with HIPAA, payer contracts, and government regulations, with routine interaction with patients and payers; proficiency in Epic or similar systems is a plus.

A high school diploma is required; associate degree or equivalent experience in medical billing is preferred.

Qualifications

• High school diploma or GED required.
• Associate’s degree in business or Finance or equivalent experience preferred.
• Experience in Medical Billing, Receivables or Collections is a plus.

Responsibilities

• Handle third-party payer billing, status updates, and collection activities.
• Post third-party payments and compute reimbursements.
• Ensure compliance with CPT-4, ICD-10, and payer regulations.
• Resolve billing issues to promote timely reimbursement.
• Prepare documentation to maximize reimbursement and manage accounts.
• Work with Epic and other healthcare systems.

Skills

Medical Billing

ICD-10/CPT-4 coding

HIPAA/compliance

Typing 45 wpm

Patient communication

Education

High school diploma or GED

Associate degree in business/Finance or equivalent

Tools

Epic software

Job description

Bronson Healthcare in Portage, Wisconsin, is seeking a Reimbursement Specialist to manage billing from third-party payers, posting payments and ensuring accuracy with CPT-4/ICD-10 codes. This role emphasizes compliance with HIPAA, payer contracts, and government regulations, with routine interaction with patients and payers; proficiency in Epic or similar systems is a plus.

A high school diploma is required; associate degree or equivalent experience in medical billing is preferred.