Reimbursement Specialist

LE10005 Empath Payroll Services, LLC; United States; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive pay

Benefits & wellness

PTO 5+ weeks

CEU support

Tuition reimbursement

Advancement opportunities

Job summary

Empath Health is seeking a detailed-oriented Reimbursement Specialist to join our Patient Accounting Team. You will compile, review, and process billing and accounts receivable documents, insurance bills and payments, and prepare and maintain all accounts receivable and patient service revenue records and reports.

You will work to ensure accurate submissions, resolve discrepancies, and support timely payment collections from Medicare/Medicaid and insurers.

Qualifications

• Associates Degree with one year of billing/medical office experience preferred.
• Experience with Medicare/Medicaid billing regulations.
• Familiar with medical terminology.
• Strong interpersonal and customer service skills.
• Proficiency in Microsoft Office Suite.

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

Billing knowledge

Communication skills

Medical terminology

Microsoft Office

Customer service

Education

Associates Degree

Tools

Netsmart

HCHB EMR

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].

Workplace Discrimination is Illegal. For more information, please refer to this machine-readable PDF to Know Your Rights: Workplace Discrimination is Illegal. If viewing in HTML, please see Know Your Rights: Workplace Discrimination is Illegal in English or Know Your Rights: Workplace Discrimination is Illegal in Spanish.

We’re Empath, and We’re Here to Redefine Healthcare Pretty bold statement, we know, but boldness is in our bones. We were founded more than 45 years ago with a transformative belief: that people should have a say in their healthcare. What started as a volunteer movement has transformed into an integrated network composed of thousands of colleagues and volunteers serving tens of thousands of individuals each day. And the best part? We're just getting started. Whether you're into hands-on patient care or more the Excel formula type, we've got a place for you on Team Empath. It takes all of us to provide Full Life Care. Are you ready to join Team Empath?