Insurance Reimbursement Specialist - Georgetown (1.0 FTE)

Neighborcare-Health; Seattle (WA); Hybrid; USD 33,000 - 43,000; Full time

Benefits offered by this job

Paid time off

Retirement with match

Employee assistance program

Job summary

Neighborcare Health is seeking an Insurance Reimbursement Specialist in the Seattle area to manage timely follow-up and collections on insurance receivables, including denials and payer responses. The role requires knowledge of managed care, Medicare/Medicaid guidelines, and HIPAA compliance, with emphasis on accuracy and meeting quality targets.

Hybrid schedule and competitive benefits offered. Responsibilities include deciphering denial reasons, following up with primary/secondary/tertiary

Qualifications

• 2-3 years of medical or dental A/R insurance follow up and denial research.
• Revenue Cycle Specialist Certification (AAHAM) after 6 months is preferred.
• Experience interpreting explanations of benefits and payments.

Responsibilities

• Decipher denial reasons and plan follow-up steps using the billing system.
• Perform collections for primary, secondary, or tertiary insurance including government programs.
• Review managed care contracts to determine correct reimbursement.
• Submit appeals for underpayments to insurers.
• Monitor trends in denials and implement corrective actions.
• Contact insurers to check status of unpaid claims.
• Handle correspondence with insurers and patients per regulations.
• Adhere to all federal, state, local payer-billing requirements.

Skills

Attention to detail

Problem solving

Insurance billing knowledge

HIPAA compliance

Account follow-up

Education

High School Diploma or equivalent

Revenue Cycle Specialist Certification (AAHAM)

Job description

Insurance Reimbursement Specialist - Seattle Area (1.0 FTE)

Job Category: Insurance and Eligibility

Requisition Number: INSUR005795

• Posted : October 5, 2026
• Full-Time
• Hybrid

Locations

Showing 1 location

Seattle, WA 98108, USA

Description

Purpose

The Insurance Reimbursement Specialist is responsible for the timely follow up and collection efforts on outstanding receivable accounts that are billed to insurance companies.This position is responsible for ensuring payment of claims from commercial insurers, managed care plans, and state and federal plans; this includes following up on zero pay claims (denials) as well as claims for which we have not received a payer response and issues that arise during the verification of insurance coverage. The Insurance Reimbursement Specialist is also responsible for the management and collection of insurance balances through the use of automated systems and revenue cycle processes. This position ensures acceptable reimbursement and appropriate days in accounts receivables with timely account follow-up and resolution of outstanding charges owed by third party payers.

Health, Wellness & Retirement Benefits:

• Paid time off & paid holidays
• Retirement with contribution match
• Employee assistance program, & more!

Compensation:

• The wage range for this position is $24.48 per hour to $30.78 per hour.
• Final offers are individually based on various factors, including skill set, years of experience, location, qualifications, work schedule and other job-related reasons.

Primary Responsibilities:

• Accurately decipher denial reason and prospectively plans follow-up steps utilizing the electronic billing system
• Collection efforts for primary, secondary, or tertiary Insurances, which include calling commercial and government insurancecompanies
• Review managed care contracts todeterminecorrect reimbursement for each account
• Submit written appeals for underpayments to insurance companies
• Tracks, recognizes trends and analyzes ways to fix/reduce payer denials and rejections
• Call insurance companies to check on thestatus of unpaid claims
• Works on and tracks outgoing and incoming correspondence from insurance companies
• Understands and follows all federal, state, and local payer-billing requirements.
• Print and re-file claims as needed
• Answer incoming patient and insurance company phone calls as received
• Work outstanding accounts receivable from work queues withproficiencyand 95% accuracy
• Meets individual quality and quantity performance goals

Required Skills:

• Ability toadhere toNeighborcareHealth policy and procedures
• Ability to be detail oriented and to problem-solving
• Ability to interpret and discuss an insurance explanation of benefits and payments
• Ability to meet andcomply withHIPAA/Confidentiality policies and procedures
• Ability to organize, problem solve, and work under pressure independently to meet critical deadlines
• Ability todemonstratepredictable,reliableandtimelyattendance
• Knowledge of Managed Care,Medicareand Medicaid guidelines
• Skill in time management
• Knowledge and understanding of policies and procedures governing credit balance analysis and resolution of providercontracts with insurance companies

Education/Experience Requirements:

• High School Diploma or equivalent
• Revenue Cycle Specialist Certification(AAHAM)after 6 months
• 2-3years of medical and/or dental A/R insurancefollow up and denial research

Preferred Requirements:

• Associate's Degree
• Revenue Cycle Specialist Certification(AAHAM)
• 2-5 yearsadministrative experience in a medical facility, health insurance verification, customer service, call center or related area

About Neighborcare Health:Since 1968, Neighborcare Health has been removing barriers to health care for our neighbors. We believe everyone deserves a place to call their health care home, where a team of medical, dental and mental health professionals work in collaboration with each patient to develop a personal health improvement plan.

We are one of the largest providers of primary medical, dental and behavioral health care services in the Seattle area serving low-income and uninsured families and individuals, seniors on fixed incomes, immigrants, and people experiencing homelessness. Each year we care for nearly 60,000 patients at our nearly 30 non-profit medical, dental and school-based clinics. We ask everyone to pay what they can, but no one is turned away due to inability to pay.

Our clinics are located in neighborhoods where health disparities are the greatest, and our care teams, who speak over 55 languages and dialects, are as diverse as our patients. No matter who you are, or where you come from, regardless of your insurance, income or immigration status, you are welcome at Neighborcare Health.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

The full job description is available upon request.