Medical Reimbursement Specialist

Lawall; Pennsylvania; On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Competitive salary

Benefits package

Professional development

Job summary

Lawall seeks a detail-driven Medical Reimbursement Specialist to drive timely reimbursement for services rendered in an in-office setting. You will work with insurance payors to resolve claim issues, reduce denials, and support financial performance.

You will manage aged AR, analyze denial trends, and craft appeals using HCPCS codes and payer guidelines. Strong Excel skills and clear communication are essential in a team-focused environment.

Qualifications

• Proven experience in medical billing/accounts receivable, preferably in a high-volume setting.
• Strong understanding of Medicare regulations and payer-specific guidelines.
• Excellent written communication skills, especially in crafting appeals.
• Advanced proficiency in Microsoft Excel for tracking and reporting AR data.
• Demonstrated problem-solving skills and attention to detail.
• Knowledge of medical terminology, HCPCS codes, and modifier usage.
• Team-oriented mindset with a strong sense of accountability and goal achievement.

Responsibilities

• Monitor and manage aged accounts receivable, focusing on claim follow-up and resolution.
• Analyze denial trends and initiate corrective action, including writing effective appeals.
• Collaborate across departments to meet team goals and improve cash collections.
• Interpret and apply Medicare and commercial insurance policies accurately.
• Utilize knowledge of HCPCS codes, modifiers, and medical terminology to resolve billing issues.
• Maintain detailed documentation and ensure compliance with all payer requirements.

Skills

Medical billing

Accounts receivable

Denials management

Excel

Appeals writing

Billing compliance

Communication

Team collaboration

Tools

Excel

Job description

++Medical Reimbursement Specialist (3 Full-time positions) – full time – in-office – 8am to 4:30pm++
Are you a detail-driven insurance expert who thrives on solving problems and getting claims paid?
The Medical Reimbursement Specialist plays a key role in the revenue cycle by ensuring accurate and timely reimbursement for services rendered. This position works closely with insurance payors to resolve claim issues, reduce denials, and support overall financial performance.

Key Responsibilities:

• Monitor and manage aged accounts receivable, focusing on claim follow-up and resolution.
• Analyze denial trends and initiate corrective action, including writing effective appeals.
• Collaborate across departments to meet team goals and improve cash collections.
• Interpret and apply. Medicare and commercial insurance policies accurately.
• Utilize knowledge of HCPCS codes, modifiers, and medical terminology to resolve billing issues.
• Maintain detailed documentation and ensure compliance with all payer requirements.

Qualifications:

• Proven experience in medical billing/accounts receivable, preferably in a high-volume setting.
• Strong understanding of Medicare regulations and payer-specific guidelines.
• Excellent written communication skills, especially in crafting appeals.
• Advanced proficiency in Microsoft Excel for tracking and reporting AR data.
• Demonstrated problem-solving skills and attention to detail.
• Knowledge of medical terminology, HCPCS codes, and modifier usage.
• Team-oriented mindset with a strong sense of accountability and goal achievement.

Why Join Us?

• Collaborative and supportive work culture
• Opportunities for growth and professional development
• Competitive salary and benefits package

We offer great pay to work in great place. If you are someone looking to use your talents to help patients meet their needs, then we want to hear from you.

This is a drug-free workplace and all job offers will be contingent on passing a drug screen and a favorable pre-employment background check.