Insurance Reimbursement Specialist

CBS Medical Billing & Consulting LLC; Exeter (NH); On-site; USD 55,000 - 75,000; Full time

Job summary

CBS Medical Billing & Consulting LLC is seeking an experienced Insurance Reimbursement Specialist to ensure claims are paid accurately and on time for orthotic and prosthetic (O&P) billing clients.

You will manage AR follow-up, analyze payer trends, and collaborate with clients to maximize revenue while maintaining compliant documentation across multiple billing platforms. You will also address denials and requests for additional information, driving improvements and client satisfaction.

Qualifications

• Experience in insurance reimbursement, AR follow-up, or denial management (O&P experience preferred)
• Solid understanding of payer requirements and the medical billing lifecycle
• Strong attention to detail, organization, and time-management skills
• Confidence navigating multiple billing platforms and payer portals
• Persistent, curious, and solution-oriented mindset
• Excellent communication and collaboration skills

Responsibilities

• Handle aging accounts (30+ days) for clients using payer calls, online portals, and claim status tools.
• Investigate and resolve denials, underpayments, payment delays, and requests for additional documentation.
• Execute reimbursement and denial management procedures according to client contracts and internal protocols.
• Identify accounts over 90 days and escalate for strategic review.
• Spot recurring denial patterns, payer trends, and potential compliance risks.
• Share insights with the Client Success Manager to improve billing performance.
• Collaborate with internal teams to proactively reduce denials.
• Accurately document all follow-up actions across multiple billing platforms.
• Maintain proficiency in client-specific billing software and payer portals.

Skills

Insurance reimbursement

AR follow-up

denial management

payer requirements

medical billing lifecycle

attention to detail

organization

time-management

communication

collaboration

Tools

Billing software

Payer portals

Job description

Are you a financial problem-solver who loves cracking insurance puzzles? Do you thrive on ensuring claims are paid correctly, resolving denials, and keeping revenue flowing smoothly?

We’re looking for an experienced
Insurance Reimbursement Specialist to join our team — someone who brings tenacity, accuracy, and a solution-focused mindset to the revenue cycle. If you have experience in orthotic and prosthetic (O&P) insurance billing, follow-up, and denial management, you’ll feel right at home.

In this role, you’ll be the key player in ensuring claims are reimbursed accurately and on time, spotting payer trends, and helping clients maximize revenue — all while providing critical support for patients accessing O&P care.

What You’ll Do

Insurance Follow-Up and Denial Management

• Work all aging accounts (30+ days) for assigned clients using payer calls, online portals, and claim status tools
• Investigate and resolve denials, underpayments, payment delays, and requests for additional documentation
• Execute reimbursement and denial management procedures according to client contracts and internal protocols
• Identify accounts over 90 days and escape for strategic review

Trend Analysis and Communication

• Spot recurring denial patterns, payer trends, and potential compliance risks
• Share insights and tips with the Client Success Manager to improve billing performance
• Collaborate with internal teams to proactively reduce denials

Documentation and Software Use

• Accurately document all follow-up actions across multiple billing platforms
• Maintain proficiency in client-specific billing software and payer portals
• Keep detailed, audit-ready records of reimbursement activity

Our Ideal Candidate

• Experience in insurance reimbursement, AR follow-up, or denial management (O&P experience preferred)
• Solid understanding of payer requirements and the medical billing lifecycle
• Strong attention to detail, organization, and time-management skills
• Confidence navigating multiple billing platforms and payer portals
• Persistent, curious, and solution-oriented mindset
• Excellent communication and collaboration skills

If you’re ready to bring your insurance reimbursement skills to a team that values precision, impact, and collaboration, we want to hear from you.