Reimbursement Specialist: Billing & Denials Expert

ADP, Inc.; Anaheim (CA); On-site; USD 42,000 - 60,000; Full time

Job summary

ADP, Inc. is seeking a Reimbursement Specialist to perform administrative and reimbursement functions that support timely billing and payor compliance. The role requires attention to detail and strong organizational abilities.

You will verify receipts, research overdue accounts, and follow up with payors by mail or phone. Experience with reimbursement or insurance and home health or DME is preferred. Strong interpersonal and communication skills are essential.

Qualifications

• High school diploma or GED equivalent.
• Minimum of two years reimbursement and/or insurance experience preferred.
• Home Health, or DME experience preferred.
• Strong interpersonal, communication, and organizational skills.

Responsibilities

• Prepare and handle billing for accounts to ensure timely reimbursement.
• Identify insurance requirements including qualifications needed to ensure payor requirements are met.
• Verify balances and receipts of all cash payments.
• Research overdue accounts and follow up by mail and/or phone to insurance carriers or customers on delinquent payments.
• Review claims denied for payment or underpaid claims.

Skills

Interpersonal skills

Communication skills

Organizational skills

Education

High school diploma or GED equivalency

Job description

ADP, Inc. is seeking a Reimbursement Specialist to perform administrative and reimbursement functions that support timely billing and payor compliance. The role requires attention to detail and strong organizational abilities.

You will verify receipts, research overdue accounts, and follow up with payors by mail or phone. Experience with reimbursement or insurance and home health or DME is preferred. Strong interpersonal and communication skills are essential.