Hybrid Reimbursement Specialist II – Billing & Payor Support

Alternate Solutions Health Network; Kettering (OH); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Alternate Solutions Health Network in Kettering, OH is seeking a Reimbursement Specialist. In-office role with hybrid model based on productivity, Monday–Friday, 8:15am–5:00pm.

You will manage collections, verify eligibility, and ensure timely payments while maintaining compliance with Medicaid and private insurance regulations. Strong Excel/Word/Outlook skills and attention to detail are essential for success.

Qualifications

• High school diploma or equivalent required.
• An Associate’s degree or equivalent experience preferred.
• Billing and healthcare experience required.
• Excellent oral and written communication skills.
• Proficiency with Microsoft Excel, Word, and Outlook.
• Detail-oriented with ability to manage multiple responsibilities.

Responsibilities

• Collects and follows up on accounts for payment.
• Sends electronic and paper claim resubmissions or correct claims.
• Makes recommendations regarding difficult payors with regards to prompt payments and processing.
• Assists patients, families and coworkers in understanding billing procedures.
• Corrects claims and rebills for payment.
• Communicates with employees, clients and vendors regarding services.
• Adheres to Medicaid, private insurance and company policies.

Skills

Billing experience

Health care experience

Excel

Word

Outlook

Communication skills

Attention to detail

Multitasking

Critical thinking

Education

High school diploma or equivalent

Associate’s degree or equivalent experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Alternate Solutions Health Network in Kettering, OH is seeking a Reimbursement Specialist. In-office role with hybrid model based on productivity, Monday–Friday, 8:15am–5:00pm.

You will manage collections, verify eligibility, and ensure timely payments while maintaining compliance with Medicaid and private insurance regulations. Strong Excel/Word/Outlook skills and attention to detail are essential for success.