Reimbursement Specialist

Empath Health; Palm Harbor (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

Empath Health is seeking a detail-oriented Reimbursement Specialist to join our Patient Accounting Team. The role focuses on compiling, reviewing, and processing billing and accounts receivable documents, insurance bills and payments, and maintaining AR and patient service revenue records.

In this position you will prepare monthly billings, reconcile cash receipts, review AR records, and follow up on rejected or denied claims with Medicare/Medicaid and insurers.

Qualifications

• Associates Degree with one year previous billing/medical office related experience preferred.
• Knowledge of Medicare/Medicaid billing regulations.
• Knowledge and familiarity with medical terminology.
• Proficiency with billing software and Netsmart, HCHB EMR within 3 months of post-hire.

Responsibilities

• Prepares, reviews, and submits monthly billings according to established procedures. Matches bills with census and identifies discrepancies; reviews patient billing revenues for accuracy.
• Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
• Reviews and corrects accounts receivable bills/records before transmission or mailing.
• Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
• Completes billing audits to ensure accuracy and/or compliance.
• Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.

Skills

Interpersonal skills

Communication

Customer service

Education

Associates Degree or equivalent

Tools

Netsmart

HCHB EMR

Billing software

Job description

Empath Health is seeking a detailed-oriented Reimbursement Specialist to join our Patient Accounting Team. In this role, the Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts receivable and patient service revenue records and reports.

What You’ll Do

• Prepares, reviews, and submits monthly billings according to established procedures. Matches bills with census and identifies discrepancies; reviews patient billing revenues for accuracy.
• Records all payments as received, performs monthly reconciliation of cash receipts; and maintains accounts receivable records and reports.
• Reviews and corrects accounts receivable bills/records before transmission or mailing.
• Continuously works on clearing rejections, denials and returned claims, performing all necessary follow-up to ensure collection of payments from Medicare/Medicaid and Insurance providers.
• Completes billing audits to ensure accuracy and/or compliance.
• Receives and answers inquiries from insurance sources/Case Managers regarding patient status or obtaining updated authorizations.

Why Join Empath Health?

• Earn Competitive Pay: Your skills and contributions are recognized and rewarded.
• Benefits & Wellness: Medical, dental, vision, life insurance, retirement with company match, plus wellness programs to support your mind and body.
• Industry-Leading PTO: 5+ weeks to rest, recharge, and live your Full Life.
• Grow Your Career: CEU support, tuition reimbursement, and advancement opportunities.
• Make a Difference: Join a mission-driven team dedicated to kindness, compassion, and Full Life Care for All.

What You’ll Need

• Associates Degree with one year previous billing/medical office related experience preferred.
• Demonstrated experience in general healthcare billing practices; proficiency with billing software and Netsmart, HCHB EMR within 3 months of post-hire.
• Knowledge of Medicare/Medicaid billing regulations.
• Knowledge and familiarity with medical terminology.
• Strong interpersonal, communication and customer service skills.
• Strong PC skills, including proficiency in Microsoft Office Suite, database applications and medical billing applications.

Unified in empathy, we serve our communities through extraordinary Full Life Care for All.

Empath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida—including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support.

Full Life Care means caring for the whole person-body, mind, and spirit with empathy and dignity. Our care goes beyond medicine to help people feel seen, supported, and valued at every stage of life.

At Empath Health, you’ll find purpose, partnership, and possibility in a culture where compassion drives excellence and every team member helps make life’s journey more meaningful.

Empath Health is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended (“ADA”), and applicable state and local laws. It is Empath Health’s policy not to discriminate against any qualified person or applicant with regard to any terms or conditions of employment on the basis of such individual’s disability. Consistent with this policy of non-discrimination, Empath Health will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made Empath Health aware of his/her disability, unless doing so would cause an undue hardship to Empath Health. If you are an applicant and need a reasonable accommodation when applying for job opportunities within Empath Health or to request a reasonable accommodation to utilize Empath Health’s online employment application, please contact [e-mail].

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