Hybrid Reimbursement Specialist: Liability AR & Claims

The Addison Group; Westchester (IL); Hybrid; USD 30,000 - 36,000; Full time

Benefits offered by this job

Flexible start times

Hybrid work model

Fast-paced environment

Exposure to liability claims

Career growth

Job summary

The Addison Group is seeking a Reimbursement Specialist - Liability in Westchester, IL for a Direct Hire, hybrid role. You will manage liability accounts receivable, interfacing with attorneys and insurers to resolve claims and ensure timely payments.

You will track denials, coordinate appeals, and document activity for compliance while maintaining accurate fee schedules and agreements. onsite training for 2-3 weeks with occasional in-office requirements.

Qualifications

• Minimum 3 years of liability accounts receivable or collections experience.
• Experience working with major liability payors (e.g., auto insurance).
• Strong understanding of revenue cycle processes, preferably within orthopedics or related specialties.
• Knowledge of medical billing components such as procedures, modifiers, and claim requirements.
• Experience negotiating with attorneys or legal representatives.
• Athena experience preferred but not required.
• High school diploma or GED required.

Responsibilities

• Respond to incoming calls from patients, attorneys, and insurance representatives, providing clear account guidance.
• Track and follow up on outstanding liability claims to ensure timely payment.
• Maintain thorough documentation of account activity for compliance and tracking purposes.
• Review and reconcile account balances, ensuring accuracy based on fee schedules and agreements.
• Compile and submit required documentation to support claim processing.
• Investigate claim denials and coordinate appeals with appropriate supporting information.
• Explain billing statements and insurance coverage details in a professional and understandable manner.
• Communicate with insurance carriers to resolve unpaid or delayed claims.
• Support additional tasks and projects as needed.

Skills

Accounts receivable

Communication

Negotiation

Education

High school diploma or GED

Tools

Athena experience

Job description

The Addison Group is seeking a Reimbursement Specialist - Liability in Westchester, IL for a Direct Hire, hybrid role. You will manage liability accounts receivable, interfacing with attorneys and insurers to resolve claims and ensure timely payments.

You will track denials, coordinate appeals, and document activity for compliance while maintaining accurate fee schedules and agreements. onsite training for 2-3 weeks with occasional in-office requirements.