Remote Reimbursement Specialist: Appeals & Collections

PRO-Spectus; Northern (KY); Hybrid; USD 44,000 - 48,000; Full time

Job summary

PRO-spectus is seeking a Reimbursement Specialist II for healthcare appeals and collections. This remote-forward role focuses on ensuring proper reimbursement, submitting claims, and coordinating with insurers, patients, and providers across multiple payers.

Responsibilities include resolving billing issues, staying updated on policy changes, and maintaining cash flow through timely collections. A strong background in healthcare billing and excellent communication are essential for success.

Qualifications

• Experience with payors and medical policy is preferred.
• Strong understanding of healthcare billing and coding processes.
• Able to interpret complex insurance policies and regulations.
• Excellent written and verbal communication with multiple stakeholders.

Responsibilities

• Ensure timely collection of outstanding Accounts Receivable.
• Research and interpret payor policies for appeals and billing.
• Manage assigned accounts to maintain positive cash flow.
• Stay current with insurance policy changes affecting reimbursement.

Skills

Billing expertise

Communication skills

Attention to detail

Organizational skills

Problem solving

Calm under pressure

Education

High School Diploma + healthcare experience

Associate degree in healthcare field

Tools

Proprietary electronic systems

Job description

PRO-spectus is seeking a Reimbursement Specialist II for healthcare appeals and collections. This remote-forward role focuses on ensuring proper reimbursement, submitting claims, and coordinating with insurers, patients, and providers across multiple payers.

Responsibilities include resolving billing issues, staying updated on policy changes, and maintaining cash flow through timely collections. A strong background in healthcare billing and excellent communication are essential for success.