Remote Medical Insurance Reimbursement Specialist

Freddie Mac; Fort Smith (AR); Remote; USD 35,000 - 48,000; Full time

Job summary

A leading company in healthcare reimbursement services is seeking a Remote Medical Insurance Reimbursement Specialist. This role involves processing reimbursement claims accurately and ensuring compliance with regulatory guidelines, as well as improving workflow efficiency. Ideal candidates will possess a high school diploma and relevant experience, with the opportunity for career advancement in a supportive work environment.

Benefits

Career advancement opportunities

Supportive work environment

Process improvement initiatives

Qualifications

• 0-1 years of experience in medical billing or claims processing.
• Strong knowledge of medical billing and payer guidelines.
• Proficient in analyzing discrepancies in accounts.

Responsibilities

• Process and verify reimbursement claims for accuracy.
• Review claim discrepancies and collaborate with teams.
• Maintain documentation in compliance with protocols.

Skills

Medical billing

Claims processing

Regulatory compliance

Electronic health records (EHR)

Reimbursement procedures

Account analysis

Education

H.S. Diploma or GED

Tools

Billing software

Job description

Remote Medical Insurance Reimbursement Specialist

Employer Industry: Healthcare Reimbursement Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on the accuracy of reimbursement claims
- Involvement in process improvement initiatives to enhance workflow efficiency
- Strict adherence to compliance and regulatory requirements in a dynamic field

What to Expect (Job Responsibilities):
- Process and verify reimbursement claims, ensuring accuracy and compliance with payer guidelines and regulatory requirements
- Review and resolve claim discrepancies, identifying incorrect payments, denials, or underpayments
- Apply correct transaction codes to accounts for proper claim adjudication and reimbursement flow
- Collaborate with revenue cycle teams and payers to investigate claim denials and appeal decisions
- Maintain accurate documentation of account actions in compliance with department protocols

What is Required (Qualifications):
- H.S. Diploma or GED required
- 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required
- Strong knowledge of medical billing, reimbursement procedures, and payer guidelines
- Ability to analyze account balances and identify discrepancies
- Proficiency in electronic health records (EHR), billing software, and reimbursement systems

How to Stand Out (Preferred Qualifications):
- Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred
- Experience with payer reimbursement policies, claim adjudication, and healthcare revenue cycle operations preferred

#HealthcareReimbursement #ClaimsProcessing #CareerOpportunity #MedicalBilling #Compliance

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