Insurance Reimbursement Specialist

University Medical Center, Inc.; Cincinnati (OH); On-site; USD 42,000 - 65,000; Full time

Job summary

UofL Health is seeking a Billing Payor Specialist to review and follow up on paid insurance claims and recoupments. You will analyze reimbursement methods, investigate discrepancies, and communicate with payers to optimize revenue.

The role requires 2–3 years of billing experience and proficiency with MS Excel, Word, and Outlook. Join a regional academic health system with a focus on patient-centered care and collaboration across departments.

Qualifications

• High School Diploma or GED.
• 2-3 years of billing, insurance follow-up or payor experience.
• Experience performing account resolution with third‑party payors is preferred.
• Experience in ICD-10, revenue codes, CPT-4 and HCPCS.
• Moderate computer proficiency including MS Excel, Word and Outlook.

Responsibilities

• Review and follow up on paid insurance claims to determine reimbursement according to contracted rates.
• Provide detailed analysis of findings and payer trends.
• Audit, research accounts, payment posting, and contractuals for accuracy.
• Communicate payment discrepancies to payer representatives via email, phone, or meetings.
• Document follow up efforts in the AR system and meet productivity goals.

Skills

Billing follow-up

Payer communications

Data analysis

Education

High School Diploma or GED

Tools

MS Excel

MS Word

Outlook

Job description

UofL Health is seeking a Billing Payor Specialist to review and follow up on paid insurance claims and recoupments. You will analyze reimbursement methods, investigate discrepancies, and communicate with payers to optimize revenue.

The role requires 2–3 years of billing experience and proficiency with MS Excel, Word, and Outlook. Join a regional academic health system with a focus on patient-centered care and collaboration across departments.